中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
7期
23-25
,共3页
心电描记术,便携式%晕厥%敏感度
心電描記術,便攜式%暈厥%敏感度
심전묘기술,편휴식%훈궐%민감도
Electrocardiography,ambulatory%Syncope%Sensitivity
目的 分析24h动态心电图在心律失常和心肌缺血引起的心源性晕厥中的临床诊断价值.方法 连续入选2010年2月至2012年10月以晕厥待查为诊断的患者共134例,均行24 h动态心电图及冠状动脉造影或心内电生理检查,详细记录生活日记,准确记录晕厥时间.结果 经冠状动脉造影及心内电生理检查确诊78例,24h动态心电图确诊59例,真阳性42例,真阴性39例,假阳性17例,假阴性36例,敏感度53.85％(42/78),特异度69.64％(39/56),阳性预测值71.19％(42/59),阴性预测值52.00％(39/75).结论 动态心电图对心律失常和心肌缺血引起的心源性晕厥有重要的临床诊断价值,反复多次检查可提高诊断阳性率.
目的 分析24h動態心電圖在心律失常和心肌缺血引起的心源性暈厥中的臨床診斷價值.方法 連續入選2010年2月至2012年10月以暈厥待查為診斷的患者共134例,均行24 h動態心電圖及冠狀動脈造影或心內電生理檢查,詳細記錄生活日記,準確記錄暈厥時間.結果 經冠狀動脈造影及心內電生理檢查確診78例,24h動態心電圖確診59例,真暘性42例,真陰性39例,假暘性17例,假陰性36例,敏感度53.85％(42/78),特異度69.64％(39/56),暘性預測值71.19％(42/59),陰性預測值52.00％(39/75).結論 動態心電圖對心律失常和心肌缺血引起的心源性暈厥有重要的臨床診斷價值,反複多次檢查可提高診斷暘性率.
목적 분석24h동태심전도재심률실상화심기결혈인기적심원성훈궐중적림상진단개치.방법 련속입선2010년2월지2012년10월이훈궐대사위진단적환자공134례,균행24 h동태심전도급관상동맥조영혹심내전생리검사,상세기록생활일기,준학기록훈궐시간.결과 경관상동맥조영급심내전생리검사학진78례,24h동태심전도학진59례,진양성42례,진음성39례,가양성17례,가음성36례,민감도53.85％(42/78),특이도69.64％(39/56),양성예측치71.19％(42/59),음성예측치52.00％(39/75).결론 동태심전도대심률실상화심기결혈인기적심원성훈궐유중요적림상진단개치,반복다차검사가제고진단양성솔.
Objective To analyze the clinical value of 24 h dynamic electrocardiogram (Holter) for cardiogenic syncope caused by arrhythmia and myocardial ischemia.Methods A total of 134 patients from February 2010 to October 2012 diagnosed syncope who received Holter and coronary arteriography (CAG) or electrophysiological examination were enrolled in this study.The daily record and the time of syncope were recorded exactly.Results Seventy-eight patients had final diagnosis by CAG and electrophysiological examination,and 59 patients were diagnosed by Holter.The true positive was 42 cases,the true negative was 39 cases,the false positive was 17 cases and the false negative was 36 cases.Thus,the sensitivity,specificity,positive predictive value and negative predictive value were 53.85％ (42/78),69.64％ (39/56),71.19％ (42/59) and 52.00％(39/75).Conclusions Holter is a very important diagnostic method for cardiogenic syncope caused by arrhythmia and myocardial ischemia.Repeated and multiple examination can improve the diagnostic yield.
