227例精神科心肌缺血患者动态心电监测分析

目的探讨精神科心肌缺血患者动态心电监测的临床意义。方法以笔者所在医院2008年1月～2010年12月经静态心电图检查显示ST段压低的精神科患者227例为研究对象,行24h动态心电监测,统计分析监测结果。结果本组227例,确诊心肌缺血104例,占45.8%;其中确定冠心病诊断26例,占25.0%;假阳性123例,占54.2%;104例心肌缺血患者中合并各种心律失常65例,占62.5%;123例假阳性患者中各种心律失常31例,占25.2%。两组比较差异有统计学意义(P<0.01)。结论精神科心肌缺血患者静态心电图检查假阳性率较高,动态心电监测可起到十分有效的鉴别作用。

Analysis on 227 cases of psychiatric patients with myocardial ischemia Holter monitoring

Objective To investigate the clinical significance of psychiatric myocardial ischemia in patients with Holter monitoring. Methods Analyzed the 24-hour Holter monitoring result of 227 cases patients that showed the ST segment depression with static ECG. Results There were 104 cases diagnosis of myocardial ischemia,accounting for 45.8%,which the diagnosis of the coronary heart disease to 26 cases,accounting for 25%,123 cases were false-positive,accounting for 54.2% in the 227 cases,65 cases of patients combined a variety of rhythm disorders in 104 cases myocardial ischemia patients,accounting for 62.5%,and 31 cases combined a variety of rhythm disorders in 123 cases false-positive patients,accounting for 25.2%,there is significant differences in the two groups(P < 0.01). Conclusion Psychiatric combined myocardial ischemia patients have the higher false positive rate by resting electrocardiogram test,Holter monitoring can play very effective role in the identification.