Abstract：Objective To discuss the diagnostic value and clinical significance of wireless and intermittent Holter monitoring system for acute coronary syndrome（ACS）. Methods A total of 246 patients were investigated by using a telemetric Holter system, intermittent transmission of ECG data.The clinical characteristics of the patients, who were diagnosed ACS by digital Holter recording were analyzed, and compared with conventional Holter examination. Results There were 66 out of 246 patients(66/246,26.8%)diagnosed ACS by digital Holter recordings. Among 66 cases with ACS,there were 39 cases with acute myocardial infarction(39/66,59.1%),27 angina pectoris(27/66,40.9%). Compared with the detection rate of ACS in hospital(14/53,26.4%),the primary medical organizations had higher detection rates (142/193,21.8%). In the 66 patients with ACS, Holter monitoring time was 52 minutes -22 hours 46 minutes, all in the default monitoring time. Conclusion Patients with ACS could be confirmed by wireless intermittent Holter transmission, which remedies conventional Holter′s defects that it could only make retrospective analysis. Meanwhile, it had very important clinical application value in giving prompt treatment, reducing complications and improving the quality of treatment and prognosis.
郭英杰. 应用分时段无线传输的Holter心电监护系统诊断急性冠脉综合征[J]. 实用心电学杂志, 2013, 22(2): 584-586,590.
GUO Ying-jie. Diagnostic value and clinical significance of telemetry Holter electrocardiogram monitoring system in patients with acute coronary syndrome. JOURNAL OF PRACTICAL ELECTROCARDIOLOGY, 2013, 22(2): 584-586,590.
\[1\] Pelter MM， Kozik TM， Loranger DL，et al. A research method for detecting transient myocardial ischemia in patients with suspected acute coronary syndrome using continuous STsegment analysis\[J\]. J Vis Exp，2012，28 (70)：50124.\[2\] Leisy PJ，Coeytaux RR， Wagner GS， et al. ECGbased signal analysis technologies for evaluating patients with acute coronary syndrome: A systematic review\[J\]. J Electrocardiol，2013，46(2)：92-97.\[3\] 郭继鸿. 心电图学\[M\].北京:人民卫生出版社，2009：185-196.\[4\] Rasenack EC， Oehler M， Elssser A,et al. Evaluation of a novel portable capacitive ECG system in the clinical practice for a fast and simple ECG assessment in patients presenting with chest pain: FIDET (Fast Infarction Diagnosis ECG Trial) \[J\]. Clin Res Cardiol，2013，102(3)：179-184.
2013, Vol. 22 
