Abstract：Objective To explore the clinical significance of dynamic electrocardiogram(DCG) of patients with acute cerebrovascular disease(ACVD). Methods Enroll 50 ACVD cases into observation group and another 50 healthy cases into control group. Execute routine electrocardiogram （ECG）and DCG examination upon both of the two groups. For the observation group, compare the abnormity detection rates by ECG with those by DCG. Between the two groups, find out the difference of abnormity detection rates by DCG and analyse the differences of heart rate variability(HRV) time domain indexes(SDNN, SDNAA, rMSSD).Results For ACVD patients, their abnormity detection rates by DCG were significantly higher than those by ECG and their detection rates of arrhythmia were significantly higher than those of control group. In the aspect of HRV time domain indexes, rMSSD of the observation group was significantly lower than that of the control group while SDNN and SDNAA were lower too.Conclusion Arrhythmias among ACVD patients usually express as paroxysmal complex arrhythmias including occasional and recurrent atrial premature beat, paroxysmal atrial tachycardia and paroxysmal atrial fibrillation, paroxysmal ventricular heartbeat tachycardia and various atrioventricular blocks. Compared with ECG, DCG could raise the detection rates of paroxysmal, sudden, complex and fatal arrhythmias for ACVD patients. The qualitative analysis of arrhythmia and quantitative analysis of HRV by DCG could provide more comprehensive and reliable information for the diagnosis, evaluation and treatment of heart injury in the attack of ACVD.
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2013, Vol. 22 
