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目的探讨动态心电图在老年心律失常患者中的临床诊断价值和意义。方法我院在2010年5月到2011年10月共收治老年心律失常患者200例,对所有的患者行24h动态心电图检查和常规心电图检查并进行分析比较。结果通过比较可以看出动态心电图检出房性早搏、室性早搏、房速、房颤、房室传导阻滞窦房、窦缓传导阻滞、室内传导阻滞、房室传导阻滞的检出率分别占94.4%、80.8%、25.6%、13.12%、4.8%、2.4%、14.4%、6.4%。与动态心电图相对照的常规心电图检出上述心律失常发生率分别占70.0%、55.0%、3.0%、3.5%、1.0%、0.5%、1.0%、1.5%。从上述分析的结果可以得知动态心电图检出率明显高于常规检出率。结论动态心电图在老年心律失常患者中具有重要的临床诊断价值和意义。
Objective To investigate the clinical value and significance of ambulatory electrocardiogram (ECG) in senile arrhythmia patients. Methods A total of 200 elderly patients with arrhythmia were admitted to our hospital from May 2010 to October 2011. All patients underwent 24-hour ambulatory electrocardiogram and routine electrocardiogram examination and analysis and comparison. The results can be seen through the comparison of atrial fibrillation atrial premature beats, ventricular premature beats, atrial fibrillation, atrioventricular block sinoatrial, sinus slow conduction block, conduction block, atrioventricular block The rates are 94.4%, 80.8%, 25.6%, 13.12%, 4.8%, 2.4%, 14.4% and 6.4% respectively. The prevalence of arrhythmia detected by conventional electrocardiogram was 70.0%, 55.0%, 3.0%, 3.5%, 1.0%, 0.5%, 1.0% and 1.5%, respectively. From the above analysis of the results we can see that Holter detection rate was significantly higher than the conventional detection rate. Conclusion Holter has important clinical diagnostic value and significance in the elderly patients with arrhythmia.