急性心肌梗死患者出院后的远距离心电监测

目的了解电话传输心电监测(TTM)在急性心肌梗死(AMI)出院后的作用.方法 80例出院后AMI患者随机分A、B两组,每组40例,A组通过电话传输心电远距离监测AMI出院后的心电变化,据监测结果,告诉处理意见.B组定期门诊检查,作心电图检测,据检查结果作出相应治疗措施.结果 A组对40例AMI患者共监测91次,检出心律失常37次,ST-T改变16次,心律失常、ST-T的检出率分别是40.1%和17.7%,通知紧急到医院诊治3次,紧急出车治疗1次,指导原地用药21次,1、2 a无1例死亡.B组对40例AMI患者共检查195次,查出心律失常33次、ST-T改变17次,心律失常、ST-T的检出率分别是16.9%和8.7%,1、2a死亡3例,死亡率7.5%.结论 TTM在AMI患者出院后有重要作用.

Long-distance electrocardiographic mornitoring of patients with acute myocardial infarction in prohospital

To observe the effect of the trantelephonic electrocardiographic mornitoring(TTM) in patients with acute myocardial infarction (AMI) in prohospital. 80 cases were randomly divided into A and B groups in prohospital, 40 cases in each group. Long-distance mornitoring the changes of electrocardiograph in patients with AMI in A group by TTM, the patients were obtained the opinion of treatment by results of mornitoring. Cases in group B will be checked in clinic timely by ECG. And the were cured consequently on the base of result of checking. 91 times of the 40 patients with AMI in A group morintored found out 37 cardiac arrhythmias, 16 changes of ST segment and T waves, the find out rates of cardiac arrhythmias and change of ST-T period were 40.1%, 17.7%, there times be informed to hospital with treatment at once, once be treated by vebicled at once, twenty-one times be guided to use medicine in same place. No cases died in 1~2 years. 195 times of the 40 patients with AMI in B group checked found out 33 cardiac arrhythmias, 17 changes of ST segment and T waves. The found out rates of cardiac arrhythymias and change of ST-T period were 16.9%, 8.7%, 3 cases died in 1~2 years, the mortality was 7.5%. [Conclusion] TTM takes an important part in patients with AMI in prohospital.