2023年8月第9卷第8期冠心病患者动态心电图价值分析郑莉凡郑莉凡泰安市妇幼保健院心脑电图室，山东泰安271000摘要摘要目的探究冠状动脉粥样硬化性心脏病（简称冠心病）患者动态心电图价值。方法选取2019年7月—2021年6月泰安市妇幼保健院疑似冠心病患者447例为研究对象，以冠状动脉造影为金标准，分析常规心电图与动态心电图的诊断价值。结果诊断灵敏度对比，动态心电图更高（99.78%vs98.43%），诊断准确度对比，动态心电图更高（99.78%vs98.43%），差异有统计学意义（χ2=5.415，5.415，P<0.05）。动态心电图检出率双支诊断符合率相对更高（100.00%vs76.92%），差异有统计学意义（χ2=5.268，P=0.022）。结论动态心电图在冠心病患者诊断中价值显著，精准率高。关键词关键词动态心电图；老年冠心病；心律失常中图分类号中图分类号R4文献标志码文献标志码Adoi10.11966/j.issn.2095-994X.2023.09.08.20AnalysisoftheValueofAmbulatoryElectrocardiograminPatientswithCoronaryHeartDiseaseZHENGLifanElectrocardiogramDepartment,Tai'anMaternalandChildHealthHospital,Tai'an,ShandongProvince,271000ChinaAbstractObjectiveToinvestigatethevalueofambulatoryelectrocardiograminpatientswithcoronaryatheroscleroticheartdisease(coronaryheartdiseaseforshort).Methods447patientswithsuspectedcoronaryheartdiseaseinTai'anMaternalandChildHealthHospitalfromJuly2019toJune2021wereselectedasthestudysubjects,andthediagnosticvalueofconventionalelectrocardiogramandambulatoryelectrocar⁃diogramwasanalyzedwithcoronaryangiographyasthegoldstandard.ResultsDiagnosticsensitivitycomparison,ambulatoryelectrocardio⁃gramwashigher(99.78%vs98.43%),anddiagnosticaccuracycomparison,ambulatoryelectrocardiogramwashigher(99.78%vs98.43%),andthedifferencewasstatisticallysignificant(χ2=5.415,5.415,P<0.05).Ambulatoryelectrocardiogramdetectionratewasrelativelyhigherintwo-branchdiagnosticcompliance(100.00%vs76.92%),andthedifferencewasstatisticallysignificant(χ2=5.268,P=0.022).ConclusionAmbulatoryelectrocardiogramhassignificantvalueinthediagnosisofpatientswithcoronaryarterydisease,highaccuracyrate.KeywordsAmbulatoryelectrocardiogram;Elderlycoronaryheartdisease;Arrhythmia冠状动脉粥样硬化性心脏...
