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目的:探讨动态心电图在心律失常诊断中的应用价值。方法:对我院2014年1月至2014年12月的1137例24小时动态心电图和常规心电图资料进行回顾性分析。结果:常规心电图心律失常检出321例,检出率为28.2%,动态心电图检出率为39.6%,后者明显高于前者,差异就有统计学意义,P<0.05。其中450例动态心电图检出异常中,有室性心律失常207例,占46%,房性心律失常216例,占48%,窦性心律失常9例,占2%,传导阻滞18例,占4%。结论:动态心电图能够明确诊断出心律失常的类型,对老年心律失常检出率较高,具有可靠的临床诊断价值。
Objective: To investigate the value of Holter in the diagnosis of arrhythmia. Methods: A retrospective analysis was performed on 1137 24-hour Holter monitoring and conventional electrocardiogram data from January 2014 to December 2014 in our hospital. Results: The routine electrocardiogram arrhythmia detected 321 cases, the detection rate was 28.2%, the dynamic electrocardiogram detection rate was 39.6%, the latter was significantly higher than the former, the difference was statistically significant, P <0.05. One of the 450 cases of abnormal ECG, 207 cases of ventricular arrhythmia, accounting for 46%, atrial arrhythmia in 216 cases, accounting for 48%, sinus arrhythmia in 9 cases, 2%, conduction block in 18 cases, 4%. Conclusion: Holter can diagnose the type of arrhythmia clearly and has a high detection rate of arrhythmia in the elderly, which has a reliable clinical diagnostic value.