远程心电监测对心律失常的诊断研究

目的探讨远程心电监测对心律失常诊断的应用价值。方法选取2010年4月-2011年12月来我院就诊的80例心律失常患者，每位患者先进行24小时动态心电图监测，动态心电图监测结束后再进行远程心电监测。分析两种监测方法所得的心电数据，计算心律失常检出率，比较心律失常检出率并对两种方法检测出的心律失常患者进一步行心律失常类型分析。结果24小时动态心电图中，心律失常检出率为52．5％，不规则心律失常患者检出3例；远程，心电监测的心律失常检出率为86．3％，不规则心律失常患者检出2例（P〈0．05）。结论远程心电监测不仅可以实行远程心电记录给心律失常诊断带来便利，检出率较高，而且对不规则心律失常也有一定检出率，是院内常规心电图检查和24小时动态心电图检查的有力补充，在临床诊断心律失常中具有重要意义。

Study on diagnosis to remote ECG monitoring for arrhythmia

Objective To investigate the application value of remote ECG monitoring for arrhythmia diagnosis. Methods From April 2010 to December 2011, 80 cases of arrhythmia patients treated in our hospital were chosen, at first, each patient had a 24-hour Holter monitoring. After the end of Holter monitoring, 80 patients had the remote ECG monitoring, then we analyzed the ECG data of the two monitoring methods. Arrhythmia detection rates of the two methods were calculated. The mThythmia detection rates were compared and the types of arrhythmia were analyzed. Restflts The arrhythmia detection rate of 24-hour ambulatory ECG was 52.5%, 3 cases were detected irregular airhythmia the detection rate of remote ECG monitoring was 86.3%, 2 cases detected irregular arrhythmia（P 〈 0.05）.Conclusion Remote ECG monitoring can not only bring convenience to the arrhythmia diagnosis, but also has a higher detection rate, a certain detection to irregular heart rate. It is a strong complement of hospital routine heart rate diagram check and 24-hour Hoher. So remote ECG monitoring has a great significance in the clinical diagnosis of abnormal heart rhythms.