动态心电图监测在围绝经期妇女心脏病诊断与鉴别诊断中的应用

目的 探讨动态心电图(DCG)在围绝经期妇女心脏病诊断与鉴别诊断中的价值。方法 对200例以心脏病症状就诊的围绝经期妇女进行ECG和DCG检查,结合临床资料将其分为心脏病组(73例)和非心脏病组(127例),将2组DCG果进行对比分析。结果 心电异常检出率心脏病组明显高于非心脏病组,单纯房、室性早搏的检出率心脏病组小于非心脏病组(P<0.001);心肌缺血、复杂性心律失常、复合性心电异常的检出率心脏病组明显高于非心脏病组(P<0.001)。结论DCG结合临床资料可对更年期心脏病患者进行诊断和鉴别诊断。

The application of Holter monitoring electrocardiogram in diagnosis and differential diagnosis of cardiac disease for the women in peri-menopausal period

Objective To study the application of DCG in diagnosis of cardiac disease of the women in peri menopausal period. Methods 200 patients with cardiac symptoms were divided into two groups: the cardiac disease group ( n = 73)and the non-cardiac disease group( n = 127),according to their ECG and DCG data and clinical data . the DCG data of both groups were analysed comparatively. Results The detecting rate of electrocardio abnormality was significantly higher in the cardiac disease group than that in the non-cardiac disease group. The detecting rate of purely atrial and ventricular premature beats was significantly lower in the cardiac disease group than that in the non cardiac disease group( P < 0.001); The detecting rates of complex arrhythmia, compound ECG abnormalities and myocardial ischemia were significantly higher in the cardiac disease group than those in the non-cardiac disease group ( P < 0.001) . Conclusion DCG data combined with the clinical data of peri-menopausal period women with cardiac disease has the value of diagnosis and differential diagnosis.