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目的探讨24 h动态心电图检查在起搏器植入心律失常诊断中的应用价值。方法选择接受起搏器植入术的患者60例,所有患者均自愿接受起搏器植入术治疗,术后均进行12导联常规心电图与24 h动态心电图监测患者心功能。比较两种方式诊断心律失常的检出率。结果 24 h动态心电图诊断心律失常的检出率高于12导联常规心电图(78.33%>31.67%),差异有统计学意义(P<0.05)。结论在起搏器植入术心律失常诊断中,24 h动态心电图应用价值显著,通过实时监测患者心功能,能够提高心律失常检出率,减少漏诊,在有效时间内展开治疗,改善临床疗效。
Objective To investigate the value of 24-hour Holter monitoring in the diagnosis of pacemaker implanted arrhythmia. Methods Sixty patients undergoing pacemaker implantation were selected. All patients were treated by pacemaker implantation voluntarily. All patients underwent 12-lead routine electrocardiogram and 24-hour ambulatory electrocardiogram to monitor cardiac function. Comparison of two ways to detect the detection rate of arrhythmia. Results The detection rate of 24 h ambulatory ECG diagnosis of arrhythmia was higher than that of 12 - lead routine electrocardiogram (78.33%> 31.67%), the difference was statistically significant (P <0.05). Conclusions In the diagnosis of arrhythmia of pacemaker implantation, 24 h ambulatory electrocardiogram is of great value. By monitoring heart function in real time, the detection rate of arrhythmia can be increased, the missed diagnosis can be reduced, and the treatment can be started within the effective time to improve the clinical efficacy.