动态心电图用于老年冠心病无症状性心肌缺血的诊断价值.docxVIP

动态心电图用于老年冠心病无症状性心肌缺血的诊断价值 北京军区总医院北京100000 【摘 要】目的：评价动态心电图对于老年冠心病中无症状性心肌缺血的诊 断价值。方法：回顾性分析168例临床诊断为冠心病的老年患者的动态心电图， 对其结果进行比较分析。结果：168例患者中共计866阵心肌缺血发作，其中无 症状心肌缺血发牛536例，占61.9%,有症状心肌缺血发牛330例，占38.1%； 其中上午6:00至12:00SMI的发作频率最高有281阵(52.43%),其次为凌晨0： 00-6： 00发牛了 130阵(24.25%)；同时ST段压低幅度和ST段压低时间比较，无症状 心肌缺血较有症状心肌缺血存在显著性差异；并且发现无症状心肌缺血发牛室性 早搏以及短阵室速的例数相比有症状心肌缺血多见。结论：无症状心肌缺血在老 年冠心病患者中较常见，动态心电图能够及早检出无症状心肌缺血的存在，对于 评估猝死风险以及治疗起到决定性作用，具有诊断及应用价值。 【关键词】动态心电图无症状性心机缺血冠心病 【中图分类号1R541.4 【文献标识码】B 【文章编号11674-8999 (2015 ) 6-0158-02 [Abstract] Objective： Evaluation of dynamic electrocardiogram (ecg) for senile coronary heart disease (CHD) in the diagnosis of asymptomatic myocardial ischemia。 methods： Retrospective analysis of 168 cases of clinical diagnosis of dynamic electrocardiogram (ecg) of elderly patie nts with cor on ary heart disease (CHD), The results were comparedo Result： A total of 866 array myocardial ischemia attack in 168 patients, with 536 cases of asymptomatic myocardial ischemia occurs, accounted for 61.9%, symptomatic myocardial ischemia occurred in 330 cases, accounted for 38.1%; 6:00 am to 12:00 SMI has the highest frequency of 281 (52.43%), Second 0:00 to 6:00 in the morning for 130 array (24.25%)； ST segment at the same time keep low amplitude and ST segment time comparison, asymptomatic myocardial ischemia is symptomatic myocardial ischemia has sign ifica nt d iff ere nce;A nd found that asymptomatic myocardial ischemia in ventricular premature beat, and short array than the number of cases of ventricular tachycardia symptomatic myocardial ischemia. Conclusion： Asymptomatic myocardial ischemia are quite comm on in the elderly patie nts with cor on ary heart disease (CHD), dyn amic electrocardiogram to early detection of the existenee of asymptomatic myocardial ischemia, play a decisive role for sudden death risk assessment and treatment, diagnosis and application value。 【Key words] Dynamic electrocardiogram； Asymptomatic all ischemia； Coronary heart disease (CHD) 冠心病随着年龄的增长，发