CAJ | 학술논문

目的:探讨“城市之心”TJH - 03A型远程心电记录仪的临床应用意义.方法:武汉市1014例社区居民接受“城市之心”TJH - 03A型远程心电记录仪检查,收集并分析其临床及心电图资料.结果:远程心电图检查正常者359例(35.40％),异常者655例(64.60％).异常者中有581名(88.7％)患者合并有多种心律失常,故共有828例次心电图异常,按异常率高低顺序前10位依次为(1)复极异常320例次(38.65％),(2)窦性心动过缓98例次(11.84％)、(3)心肌缺血98例次(11.84％)、(4)传导阻滞78例次(9.42％)、(5)心室肥大及高电压56例次(6.76％)、(6)房性早搏43例次(5.19％)、(7)心房颤动37例次(4.47％),(8)窦性心动过速35例次(4.23％)、(9)室性早搏24例次(2.90％)、(10)怀疑心梗19例次(2.29％),其它:QT间期延长5例次,3例次以下的有:房性心动过速、心房扑动、室性心动过速、室上性心动过速、Brugada波、右位心.结论:“城市之心”TJH - 03A型远程心电记录仪操作方便,能实施远程心电记录,可发现多种心律失常,对心电图诊断,特别是心律失常诊断具有重要意义.
목적:탐토“성시지심”TJH - 03A형원정심전기록의적림상응용의의.방법:무한시1014례사구거민접수“성시지심”TJH - 03A형원정심전기록의검사,수집병분석기림상급심전도자료.결과:원정심전도검사정상자359례(35.40％),이상자655례(64.60％).이상자중유581명(88.7％)환자합병유다충심률실상,고공유828례차심전도이상,안이상솔고저순서전10위의차위(1)복겁이상320례차(38.65％),(2)두성심동과완98례차(11.84％)、(3)심기결혈98례차(11.84％)、(4)전도조체78례차(9.42％)、(5)심실비대급고전압56례차(6.76％)、(6)방성조박43례차(5.19％)、(7)심방전동37례차(4.47％),(8)두성심동과속35례차(4.23％)、(9)실성조박24례차(2.90％)、(10)부의심경19례차(2.29％),기타:QT간기연장5례차,3례차이하적유:방성심동과속、심방복동、실성심동과속、실상성심동과속、Brugada파、우위심.결론:“성시지심”TJH - 03A형원정심전기록의조작방편,능실시원정심전기록,가발현다충심률실상,대심전도진단,특별시심률실상진단구유중요의의.
Objective:To evaluate the value of clinical application of “Heart of the City” type TJH - 03A remote electrocardiogram recorder (remote ECG).Methods:A total of 1 014 community residents from Wuhan received ECG examination by “Heart of the City” type TJH- 03A remote ECG recorder.Clinical and ECG data of all subjects were collected and analyzed.Results:There were 359 (35.40％) cases with normal ECG and 655 (64.60％)cases with abnormal ECG,after remote ECG examination.There were 581 cases had a variety of arrhythmia in 655 cases with abnormal ECG,so there were 828 cases times with abnormal ECG,in which there were (1) 320 cases times (38.65％) with repolarization abnormality,(2) 98 cases times (11.84％) with sinus bradycardia,(3) 98 cases times (11.84％) with myocardial ischemia,(4) 78 cases times (9.42％) with conduction block,(5) 56 cases times (6.76％) with ventricular hypertrophy and high voltage,(6) 43 cases times (5.19％) with atrial premature beats (7) 37 cases times (4.47％) with atrial fibrillation,(8) 35 eases times (4.23％) with sinus tachycardia,(9)24 cases times (2.90％) with ventricular premature beats,(10) 19 cases times (2.29％) with suspected myocardial infarction according to ECG abnormality rate order.In addition,there were 5 cases timas with QT interval prolongation,and abnormal ECG with abnormality rate ≤3 cases times:atrial tachycardia,atrial flutter,supraventricular tachycardia,ventricular tachycardia,Brugada wave,dextrocardia.Conclusion:“Heart of the City” type TJH- 03Aremote electrocardiogram recorder is convenient to use,it can perform remote electrocardiogram record,and find a variety of arrhythmias.It's important for ECG diagnosis,especially for diagnosis of arrhythmias.