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目的探讨遥测心电监护对心源性晕厥的诊断价值及临床意义。方法对178例可疑系心律失常导致晕厥和近似晕厥的患者行心电遥测监测,对结果进行分析。结果遥测监护178例患者中发现心律失常142例,占79.8%。178例患者中由于严重心律失常导致心源性晕厥11例,占6.1%。分别为4例室速,1例室上速,2例心室颤动,2例窦性停搏,最长间歇5.4s,2例为三度房室传导阻滞。结论遥测心电监护能早期并及时发现心律失常,可明显降低心血管疾病的死亡率,对于心源性晕厥的诊断具有重要的临床价值。
Objective To investigate the diagnostic value and clinical significance of telemetric ECG for cardiogenic syncope. Methods 178 cases of suspected arrhythmia caused syncope and syncope in patients with ECG telemetry monitoring, the results were analyzed. Results There were 142 cases of arrhythmia found in 178 patients (79.8%). Among 178 patients, cardiac syncope occurred in 11 cases (6.1%) due to severe arrhythmia. They were 4 cases of ventricular tachycardia, 1 case of supraventricular tachycardia, 2 cases of ventricular fibrillation, 2 cases of sinus arrest, the longest interval of 5.4s, 2 cases of third degree atrioventricular block. Conclusion Telemetry ECG can detect arrhythmia early and can reduce the mortality of cardiovascular disease significantly, which has important clinical value for the diagnosis of cardiogenic syncope.