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中华心脏与心律电子杂志 ›› 2018, Vol. 06 ›› Issue (01) : 55 -58. doi: 10.3877/cma.j.issn.2095-6568.2018.01.019

所属专题: 文献

论著

动态心电图与彩超诊断心律失常和心肌缺血的价值比较
陈继生1   
  1. 1. 571700 儋州,儋州市人民医院 心电图室
  • 收稿日期:2017-12-03 出版日期:2018-03-25

Comparison of dynamic electrocardiogram and color Doppler ultrasonography in diagnosis of arrhythmia and myocardial ischemia

Jisheng Chen1   

  1. 1. Electrocardiographic Room, Zhanzhou People’s Hospital, Zhanzhou 571700, China
  • Received:2017-12-03 Published:2018-03-25
引用本文:

陈继生. 动态心电图与彩超诊断心律失常和心肌缺血的价值比较[J/OL]. 中华心脏与心律电子杂志, 2018, 06(01): 55-58.

Jisheng Chen. Comparison of dynamic electrocardiogram and color Doppler ultrasonography in diagnosis of arrhythmia and myocardial ischemia[J/OL]. Chinese Journal of Heart and Heart Rhythm(Electronic Edition), 2018, 06(01): 55-58.

目的

比较动态心电图与彩超对心律失常和心肌缺血的诊断价值。

方法

选取2015年6月至2016年12月儋州市人民医院收治的50例患者,分别采用动态心电图(dECG)、彩超及冠状动脉造影检查,比较心律失常和心肌缺血检出率,以冠状动脉造影检查结果作为金标准,比较dECG与彩超对心肌缺血的诊断价值。

结果

dECG对房性早搏的检出率为62.0%(31/50),彩超对房性早搏的检出率为40.0%(20/50)。dECG对房性早搏的检出率高于彩超,差异有统计学意义(P<0.05)。dECG对心肌缺血的检出率为85.7%(36/42),彩超对心肌缺血的检出率为66.7%(28/42)。dECG对心肌缺血的检出率高于彩超,差异有统计学意义(P<0.05)。dECG诊断心肌缺血的敏感度和准确度均高于彩超,差异有统计学意义(P<0.05)。

结论

动态心电图对心律失常和心肌缺血的检出率高于彩超,诊断价值较高。

Objective

To compare the diagnostic value of dynamic electrocardiogram (dECG) and color Doppler ultrasonography for arrhythmia and myocardial ischemia.

Methods

Fifty patients treated in Zhanzhou People’s Hospital from June of 2015 to December of 2016 were enrolled in the study. dECG, color Doppler ultrasonography and coronary angiography were used. The detectable rates of dECG and color Doppler ultrasonography for arrhythmia and myocardial ischemia were compared. Using coronary angiography as the gold standard, the diagnostic value of dECG and color Doppler ultrasonography for myocardial ischemia was compared.

Results

The detectable rates of dECG and color Doppler ultrasonography for atrial premature beats were 62.0%(31/50) and 40.0%(20/50) respectively. The detectable rate of dECG for atrial premature beats was higher than color Doppler ultrasonography, and the difference was statistically significant (P<0.05). The detectable rates of dECG and color Doppler ultrasonography for myocardial ischemia were 85.7%(36/42) and 66.7%(28/42) respectively. The detectable rate of dECG for myocardial ischemia was higher than color Doppler ultrasonography, and the difference was statistically significant (P<0.05). The sensitivity and accuracy of dECG in diagnosing myocardial ischemia were higher than color Doppler ultrasonography.

Conclusion

The detectable rates of dECG for arrhythmia and myocardial ischemia are higher than color Doppler ultrasonography, and the diagnostic value is higher.

表1 dECG与彩超对心律失常的检出率比较[n(%)]
表2 dECG与彩超诊断心肌缺血的价值比较(%)
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