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目的:探讨动态心电图诊断病毒性心肌炎的价值及意义。方法:对136例拟诊病毒性心肌炎患者的动态心电图和常规心电图资料进行对比分析,并同时进行肌钙蛋白及心肌酶谱检测。结果:动态心电图结果异常112例,常规心电图异常64例,二者比较差异有统计学意义(P<0.01)。结论:动态心电图可提高病毒性心肌炎患者心律失常及心肌缺血的检出率,可对心律失常作定性分析,排除器质性病变,为病毒性心肌炎的诊断提供可靠依据。
Objective: To investigate the value and significance of Holter in the diagnosis of viral myocarditis. Methods: The dynamic electrocardiogram and routine electrocardiogram data of 136 patients with suspected viral myocarditis were analyzed and compared. At the same time, troponin and myocardial enzymes were detected. Results: There were 112 cases of abnormal ECG and 64 cases of abnormal ECG, the difference was statistically significant (P <0.01). Conclusion: Holter can improve the detection rate of arrhythmia and myocardial ischemia in patients with viral myocarditis. It can make a qualitative analysis of arrhythmia and rule out organic diseases, which can provide a reliable basis for the diagnosis of viral myocarditis.