Abstract:Objective To evaluate the clinical value of ambulatory electrocardiography(AECG) on acute arrhythmia monitoring.MethodsWe collected routine electrocardiogram(ECG) and AECG results of inpatients and outpatients in our hospital from July 2012 to December 2013, and compared the detection rates of acute arrhythmia by the two methods.ResultsBy AECG, acute arrhythmias were detected in 41 patients and required immediate treatment, including 1 case with paroxysmal supraventricular tachycardia, 8 cases with paroxysmal atrial fibrillation complicating rapid ventricular rate, 5 cases with polymorphic and torsade de pointes, 5 cases with incessant ventricular tachycardia, 10 cases with sinus arrest, 3 cases with 2︰1 atrioventricular block, and 9 cases with high degree and paroxysmal complete atriventricular block. However, routine ECG failed to detect any arrhythmia in those patients. ConclusionAECG monitoring is capable of finding acute arrhythmia requiring emergency treatment and providing clinicians reports to diagnose and treat the patients in time.
冯夏, 纳志英, 李波, 韩雪. 动态心电图涉及急诊心律失常监测的分析[J]. 实用心电学杂志, 2014, 23(5): 341-344.
FENG Xia, NA Zhi-Ying, LI Bo, HAN Xue. The application of ambulatory electrocardiography in acute arrhythmia monitoring. JOURNAL OF PRACTICAL ELECTROCARDIOLOGY, 2014, 23(5): 341-344.