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动态心电图与常规心电图诊断冠心病的应用对比分析

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目的 对比分析动态心电图与常规心电图诊断冠心病的应用价值。方法 选取2021年8月—2022年7月在本院治疗的1000例冠心病患者为研究对象,全部进行常规与动态心电图检查,以冠状动脉造影检查作为金标准,对比分析常规心电图检查与动态心电图检查对冠心病的诊断效果,并对比两种检查方法的心电图指标。结果 以冠状动脉造影检查作为金标准,动态心电图检查对冠心病诊断的灵敏度、特异度、准确性、阳性和阴性预计值高于常规心电图,差异均存在统计学意义(P<0。05)。动态心电图检查对窦房阻滞、房室阻滞、短阵性房颤、窦性心动过缓、期前收缩、缺血性ST-T改变的检出率高于常规心电图检查,差异均存在统计学意义(P<0。05)。结论 动态心电图相比于常规心电图用于冠心病诊断的价值更高,可提升对冠心病的临床诊断准确性。
Application Comparative Analysis of Dynamic Electrocardiogram and Routine Electrocardiogram in Diagnosis of Coronary Heart Disease
Objective To compare and analyze application value of dynamic electrocardiogram and routine electrocardiogram in diagnosis of coronary heart disease.Methods The paper chose 1000 related patients in our hospital from August 2021 to July 2022 as subjects,treated with routine and dynamic electrocardiogram examinations with gold standard of coronary angiography.Diagnostic effect of routine electrocardiogram examination and dynamic electrocardiogram examination was compared and analyzed for coronary heart disease,electrocardiogram indicators of two examination methods were compared.Results Sensitivity,specificity,accuracy,positive and negative predictive values of dynamic electrocardiogram for diagnosis of coronary heart disease were higher than routine electrocardiogram based on gold standard of coronary angiography,difference was statistically significant(P<0.05).Detection rate of dynamic electrocardiogram examination for sinus block,atrioventricular block,short paroxysmal atrial fibrillation,sinus bradycardia,pre contraction,and ischemic ST-T changes was higher than routine electrocardiogram examination,difference was statistically significant(P<0.05).Conclusion Dynamic electrocardiogram can achieve higher value in diagnosis of coronary heart disease than routine electrocardiogram,which can improve clinical diagnostic accuracy of coronary heart disease.

Dynamic electrocardiogramRoutine electrocardiogramCoronary heart diseaseDiagnosis

艾瑛、张学强、雷罗春

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新疆生产建设兵团第十三师红星医院,新疆 哈密 839000

动态心电图 常规心电图 冠心病 诊断

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(3)
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