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12导Holter对无症状性心肌缺血的诊断价值
引用本文:田新利,王陆建,于翠荣,段丽琴,吴磊.12导Holter对无症状性心肌缺血的诊断价值[J].山西医科大学学报,2003,34(1):49-50.
作者姓名:田新利  王陆建  于翠荣  段丽琴  吴磊
作者单位:山西医科大学第一医院心内科,太原,030001
摘    要:目的 评价 12导联动态心电图 (Holter)对无症状性心肌缺血的诊断价值。方法 选择 47例经冠状动脉造影 (CAG)证实的冠心病患者 ,并在同期内 (间隔小于 1周 )接受 12导Holter及普通心电图 (ECG)检查 ,将两种检查结果进行对比分析。结果  12导Holter和ECG对无症状性心肌缺血 (SMI)的检出率分别是 75 0 %、8 3 % ,差异有显著性 (P <0 0 5 )。结论  12导Holter可以较早地发现SMI,有助于指导临床治疗。

关 键 词:心电描记术  便携式  冠状动脉疾病  冠状动脉造影术  心肌缺血
文章编号:1007-6611(2003)01-0049-02
修稿时间:2002年6月17日

Value of 12-lead Holter in the diagnosis of silent myocardial inschemia
TIAN Xin li,WANG Lu jian,YU Cui rong,et al.Value of 12-lead Holter in the diagnosis of silent myocardial inschemia[J].Journal of Shanxi Medical University,2003,34(1):49-50.
Authors:TIAN Xin li  WANG Lu jian  YU Cui rong  
Abstract:Objective To investigate the diagnosticvalue of 12 lead Holter in silentmyocardial ischemia(SMI). Methods Forty seven patients diagnosed by coronary angiography(CAG) were examined by 12 lead Holter and ECG.The duration of bothmethods was less than one week. 12 lead Holter data were compared with ECG. Results The positive rate of 12 lead Holter and ECG in the diagnosis of SMI were 75.6% and 8.3% respectively. There was an apparent difference between both ( P <0 05). Conclusion Results show that 12 lead Holter can find out SMIearly.It is helpful for SMI to be treated correctly.
Keywords:electrocardiography  ambulatory  coronary disease  coronary  angiography  myocardial ischemia
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