动态心电图在急性心肌梗死冠心病患者心律失常中的诊断效果

目的研究动态心电图在急性心肌梗死冠心病患者心律失常中的诊断效果。方法回顾性分析2018年1月至2021年7月池州市人民医院收治的112例急性心肌梗死冠心病患者心律失常的临床资料,按照不同心电图检查方法进行分组,其中采用常规心电图57例分为对照组,动态心电图55例分为观察组。观察两组患者心律失常检出率、房性心律失常检出率情况、室性心律失常检出率情况及生活质量。结果观察组房性心律失常、室性心律失常、交界性心律失常、房室传导阻滞、窦性心律失常检出率为98.18%、58.18%、14.55%、30.91%、41.82%,均高于对照组(50.88%、31.58%、0、10.53%、0),差异均有统计学意义(P<0.05)。观察组对不同类型房性心律失常(房早)检出率高于对照组,差异均有统计学意义(P<0.05),但两组心房颤动、阵发性房扑房颤相比差异无统计学意义(P>0.05)。观察组对不同类型室性期前收缩检出率高于对照组,差异均有统计学意义(P<0.05),但两组室性逸搏相比差异无统计学意义(P>0.05)。观察组生活质量评分高于对照组,差异均有统计学意义(P<0.05)。结论动态心电图在急性心肌梗死冠心病患者心律失常中有较好的诊断效果,监测的准确性更高。

Effect of dynamic electrocardiogram in the diagnosis of arrhythmia in patients with acute myocardial infarction and coronary heart disease.

Objective To study the effect of dynamic electrocardiogram in the diagnosis of arrhythmia in patients with acute myocardial infarction and coronary heart disease.Methods The clinical data of 112 patients with acute myocardial infarction and coronary heart disease admitted to Chizhou People's Hospital from January 2018 to July 2021 with arrhythmia was retrospectively analyzed.According to different ECG examination methods,57 patients with conventional ECG were included in control group,and 55 patients with dynamic electrocardiogram were in observation group.The detection rate of arrhythmia,the detection rate of atrial arrhythmia,the detection rate of ventricular arrhythmia and the quality of life of the two groups of patients were observed.Results The detection rates of atrial arrhythmia,ventricular arrhythmia,junctional arrhythmia,atrioventricular block,and sinus arrhythmia in the observation group were 98.18%,58.18%,14.55%,30.91%,41.82%,which were higher than those in the control group(50.88%,31.58%,0,10.53%,0),the differences were statistically significant(P<0.05).The detection rates of different types of atrial arrhythmias(premature atrial arrhythmia)in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05),but there were no significant differences in atrial fibrillation,paroxysmal atrial flutter between the two groups(P>0.05).The detection rates of different types of ventricular premature contractions in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05),but there was no statistically significant difference in ventricular escape beats between the two groups(P>0.05).The quality of life scores of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion Dynamic electrocardiogram has a good diagnostic effect for arrhythmia in patients with acute myocardial infarction and coronary heart disease with high monitoring accuracy.