Abstract：Objective To compare the application value of ambulatory electrocardiography (AECG) and esophageal cardiac electrophysiological examination in the population with palpitation. Methods We selected patients who had undergone AECG and esophageal electrophysiological examination due to palpitation, separately 400 and 123 cases. The positive rate and detection rate of different types of arrhythmia were compared between the two examination methods. Results A total of 258 cases of arrhythmia (64.5%) are detected by AECG while 90 cases (73.2%) were detected by esophageal electrophysiological examination. The positive rate does not vary significantly between the two examination methods (P>0.05). The detection rate of frequent premature beats, atrial tachycardia, and atrial flutter and atrial fibrillation by AECG are significantly higher than those by esophageal cardiac electrophysiological examination (P<0.05). The detection rate of atrioventricular nodal reentrant tachycardia and atrioventricular reentrant tachycardia by esophageal electrophysiological examination are significantly higher than those by AECG (P<0.05). Conclusion Both of AECG and esophageal cardiac electrophysiological examination can be widely used in the population with palpitation. The two testing methods differ in the detection rate of various types of arrhythmia.
王丽颖,王新康. 动态心电图与经食管心脏电生理检查在心悸病因诊断中的价值比较[J]. 实用心电学杂志, 2021, 30(1): 28-31.
WANG Liying,WANG Xinkang. Comparison of diagnostic value of ambulatory electrocardiography and esophageal electrophysiological examination on palpitation causes. JOURNAL OF PRACTICAL ELECTROCARDIOLOGY, 2021, 30(1): 28-31.
