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目的探讨动态心电图对于病态窦房结综合征(SSS)的诊断价值。方法对我院门诊及住院患者窦性心动过缓(心率<50次/min)者进行阿托品试验。选择75例阿托品试验阳性者做动态心电图检查、分析。同期健康体检者56例做对照。结果75例阿托品试验阳性者动态心电图检测符合24 h总心搏<80 000次且24 h最慢心率<40次/min、最快心率<90次/min者52例。而对照组无1例24 h总心搏<80 000次。部分并有窦性停搏(静止)、窦房阻滞、房室传导阻滞、慢快综合征、心室停搏、交界性逸搏及逸搏心律、期前收缩等心律失常。结论动态心电图可全面了解患者的心律和心率的变化,能明显提高心律失常的检出率,是早期诊断病态窦房结综合征的最可靠的方法。
Objective To investigate the diagnostic value of ambulatory electrocardiogram for sick sinus syndrome (SSS). Methods Atropine test was conducted on sinus bradycardia (heart rate <50 beats / min) in outpatients and inpatients in our hospital. Select 75 cases of atropine test positive for Holter examination, analysis. In the same period 56 cases of healthy people as a control. Results 75 cases of atropine test positive electrocardiogram test consistent with 24 h total heart rate <80 000 and 24 h the slowest heart rate <40 beats / min, the fastest heart rate <90 beats / min were 52 cases. None of the patients in the control group had total heart rate <80 000 for 24 h. Part and sinus arrest (resting), sinoatrial block, atrioventricular block, slow syndrome, ventricular arrest, escape rhythm and escape heart rhythm, systolic and other arrhythmias. Conclusion Holter can fully understand the patient’s heart rate and heart rate changes, can significantly improve the detection rate of arrhythmia, early diagnosis of sick sinus syndrome is the most reliable method.