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HOU Na. Value of dynamic electrocardiogram in diagnosing myocardial ischemia and arrhythmia of patients with coronary heart disease[J]. Journal of Clinical Medicine in Practice, 2022, 26(10): 11-14. DOI: 10.7619/jcmp.20213644
Citation: HOU Na. Value of dynamic electrocardiogram in diagnosing myocardial ischemia and arrhythmia of patients with coronary heart disease[J]. Journal of Clinical Medicine in Practice, 2022, 26(10): 11-14. DOI: 10.7619/jcmp.20213644
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Value of dynamic electrocardiogram in diagnosing myocardial ischemia and arrhythmia of patients with coronary heart disease

  • Electrocardiogram Room, Hainan Boao Yiling Life Care Center, Qionghai, Hainan, 571400

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  • Received Date: September 09, 2021
  • Available Online: May 24, 2022
    Graphical Abstract
    • Abstract
  • Objective 

    To investigate the value of dynamic electrocardiogram in diagnosing myocardial ischemia and arrhythmia of patients with coronary heart disease (CHD).

    Methods 

    A total of 212 patients with CHD from January 2018 to June 2020 were selected and conducted both dynamic electrocardiogram and routine electrocardiogram.The detection conditions of myocardial ischemia and arrhythmia as well as patient's satisfaction degree were compared between the two methods.

    Results 

    The positive rate of myocardial ischemia detected by dynamic electrocardiogram was significantly higher than that by routine electrocardiogram, and the detection rates of symptomatic and asymptomatic myocardial ischemia were significantly higher than that detected by routine electrocardiogram (P < 0.05).Among the detection types of arrhythmias, the detection rates of binary and triple rhythm of atrial escape beats and atrial premature beats, left and right bundle branch block and atrioventricular block by dynamic electrocardiogram were significantly higher than those by routine electrocardiogram (P < 0.05).The patient's total satisfaction degree to dynamic electrocardiogram was 96.22%, which was significantly higher than 75.94% of routine electrocardiogram (P < 0.05).

    Conclusion 

    Dynamic electrocardiogram can effectively improve the diagnostic effect of myocardial ischemia and arrhythmia in patients with CHD, and the patient's satisfaction degree is high, which is worthy of clinical application.

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    • References (21)
  • [1]
    王萍, 龙滔, 邵江. 2种血清标志物联合24 h动态心电图对老年冠心病并发无症状心肌缺血的诊断价值[J]. 中华老年心脑血管病杂志, 2020, 22(9): 934-937. doi: 10.3969/j.issn.1009-0126.2020.09.010
    [2]
    CYBULSKA B, KLOSIEWICZ-LATOSZEK L. Landmark studies in coronary heart disease epidemiology. The Framingham Heart Study after 70 years and the Seven Countries Study after 60 years[J]. Kardiol Pol, 2019, 77(2): 173-180. doi: 10.5603/KP.a2019.0017
    [3]
    吴志红, 杨瑞. CT血管成像联合12导联动态心电图在冠心病诊断中的应用[J]. 中国CT和MRI杂志, 2019, 17(5): 83-85, 136. doi: 10.3969/j.issn.1672-5131.2019.05.025
    [4]
    周宗平. 不同年龄段心肌炎患儿24 h动态心电图心率变异性分析及其诊断价值[J]. 中国妇幼保健, 2020, 35(3): 565-568. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB202003061.htm
    [5]
    ENRIQUEZ A, BARANCHUK A, BRICENO D, et al. How to use the 12-lead ECG to predict the site of origin of idiopathic ventricular arrhythmias[J]. Heart Rhythm, 2019, 16(10): 1538-1544. doi: 10.1016/j.hrthm.2019.04.002
    [6]
    武霞, 杨清华, 刘学键, 等. 24 h动态心电图联合心肌肌钙蛋白Ⅰ评价放射性心脏损伤的应用研究[J]. 中华放射肿瘤学杂志, 2020, 29(6): 421-426. doi: 10.3760/cma.j.cn113030-20190105-00010
    [7]
    王倩敏. 原发性高血压并室性心律失常患者血压昼夜节律和心率震荡的相关性[J]. 岭南心血管病杂志, 2019, 25(1): 76-79. doi: 10.3969/j.issn.1007-9688.2019.01.17
    [8]
    胡凯, 陈颖敏, 卜军, 等. Smartpatch长时程动态心电图监测对心律失常的诊断价值[J]. 中国心脏起搏与心电生理杂志, 2019, 33(1): 17-20. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXZ201901004.htm
    [9]
    HASHIMOTO K, KASAMAKI Y, SOMA M, et al. Diurnal variation of frequency domain T-wave alternans on 24-hour ambulatory electrocardiogram in subjects without heart disease: significant effect of autonomic nervous activity of the heart[J]. Ann Noninvasive Electrocardiol, 2019, 24(3): e12620. doi: 10.1111/anec.12620
    [10]
    CIFTCI O, KESKIN S, KARACAGLAR E, et al. Fragmented QRS on 12-lead electrocardiogram is correlated with severe coronary artery disease and abnormal myocardial perfusion scintigraphy results in renal transplant candidates[J]. Exp Clin Transplant, 2018, 16(6): 690-695.
    [11]
    武瑞凤. 冠状动脉CT血管成像联合动态心电图对冠心病心肌缺血的诊断价值[J]. 中国药物与临床, 2020, 20(7): 1094-1095. https://www.cnki.com.cn/Article/CJFDTOTAL-YWLC202007016.htm
    [12]
    TAMIS-HOLLAND J E, JNEID H, REYNOLDS H R, et al. Contemporary diagnosis and management of patients with myocardial infarction in the absence of obstructive coronary artery disease: a scientific statement from the American heart association[J]. Circulation, 2019, 139(18): e891-e908.
    [13]
    李连海, 褚怀德, 刘建伟, 等. 12导联动态心电图与常规心电图对老年冠心病病人无症状心肌缺血和心律失常的诊断价值[J]. 中西医结合心脑血管病杂志, 2019, 17(5): 787-789. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYYY201905041.htm
    [14]
    邹华丽. 24 h动态心电图联合NLR值预测急性心肌梗死后恶性心律失常的临床价值[J]. 河北医学, 2019, 25(4): 598-602. doi: 10.3969/j.issn.1006-6233.2019.04.019
    [15]
    许宏磊. 参芪桂附活血汤辅治冠心病所致心肾阳虚型病窦综合征的效果及对心室重构、动态心电图的影响[J]. 辽宁中医杂志, 2020, 47(11): 146-149. https://www.cnki.com.cn/Article/CJFDTOTAL-LNZY202011045.htm
    [16]
    ALMUWAQQAT Z, SULLIVAN S, HAMMADAH M, et al. Sex-specific association between coronary artery disease severity and myocardial ischemia induced by mental stress[J]. Psychosom Med, 2019, 81(1): 57-66. doi: 10.1097/PSY.0000000000000636
    [17]
    陈郧, 马珍珍, 张威, 等. 动态心电图评价冠状动脉粥样硬化性心脏病患者左心房容积、功能和同步性的价值研究[J]. 中国现代医学杂志, 2020, 30(10): 121-124. doi: 10.3969/j.issn.1005-8982.2020.10.025
    [18]
    吴农田, 樊明振, 凌娇奴. 冠心病合并2型糖尿病患者24 h动态心电图监测结果及心脏结构状况分析[J]. 海南医学, 2019, 30(21): 2747-2751. doi: 10.3969/j.issn.1003-6350.2019.21.008
    [19]
    漆星宇, 耿学军, 张喜文. 冠状动脉CT血管成像联合3导联动态心电图诊断冠心病心肌缺血临床价值研究[J]. 临床军医杂志, 2019, 47(4): 414-416. https://www.cnki.com.cn/Article/CJFDTOTAL-JYGZ201904034.htm
    [20]
    MANTOVANI A, BONAPACE S, LUNARDI G, et al. Association between plasma ceramides and inducible myocardial ischemia in patients with established or suspected coronary artery disease undergoing myocardial perfusion scintigraphy[J]. Metabolism, 2018, 85: 305-312. doi: 10.1016/j.metabol.2018.05.006
    [21]
    沈金链, 陈颖敏, 卜军, 等. Smartpatch长时程动态心电图对心房颤动消融术后复发的监测及相关因素分析[J]. 中国心脏起搏与心电生理杂志, 2020, 34(2): 124-127. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXZ202002005.htm
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