摘要
目的：探讨应用动态心电图（ Holter）评价无痛性心肌缺血的价值。方法对106例无胸痛主诉但存在冠心病危险因素的患者，进行Holter 检查，评价其心肌缺血总负荷值（TIB），对 TIB≥60 mm·min^－1·24 h－1进行冠状动脉造影，行相关性分析。结果39（39／106）例TIB≥60 mm·min^－1·24 h^－1。对其中36（36／39）例进行了冠状动脉造影检查，31（31／36）例（86．1％）经造影确诊为冠心病，5（5／36）例（13．9％）造影无明显异常。冠脉病变的程度与TIB的大小呈正相关（r＝0．736，P＜0．01）。结论 TIB对心肌缺血的程度有一定的评定价值，对无痛性心肌缺血有一定检出率。
Objective To evaluate the correlation between Holter monitoring and SMI or arrhythmia in CHD.Methods The total of 106 patients with coronary dangerous factors but without chest pain were collected,and underwent dynamic electrocardiograph which was used to evaluate the total ischemia burden（TIB）.Results 39（39/106） cases attended the criterion of TIB,36（36/39） patients had CAG examination.The 31（31/36） cases were diag-nosed as coronary heart disease by CAG;the other 5（5/36） cases had no positive results.There was positive correla-tion between the levels of TIB and Gensini cumulative index（r=0.736,P〈0.01）.Conclusion There is a certain evaluation value of TIB on the extent of myocardial ischemia.There is a certain detection rate of silent myocardial ischemia.
出处
《中国基层医药》
CAS
2014年第24期3737-3738,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
冠状动脉疾病
心肌缺血
心电描记术
Coronary artery disease
Myocardial ischemia
Electrocardiography
