Abstract:Ambulatory electrocardiography(AECG) can completely record the process of myocardial ischemia and provide certain evidence for the disease.Through correlation analysis of typical case and AECG recordings, this paper illustrates the roles AECG plays in identifying the process of acute transient myocardial ischemia, which is clinically significant in diagnosing acute coronary syndrome. Therefore, clinicians should pay more attention on the diagnostic value of AECG for acute transient myocardial ischemia, especially silent myocardial ischemia.
张兆国, 马宏艳. 动态心电图对急性短暂性心肌缺血的诊断价值(附1例报告)[J]. 实用心电学杂志, 2014, 23(5): 364-368.
ZHANG Zhao-Guo, MA Hong-Yan. The diagnostic value of ambulatory electrocardiography for acute transient myocardial ischemia: a report of one case. JOURNAL OF PRACTICAL ELECTROCARDIOLOGY, 2014, 23(5): 364-368.
\[1\] Crawford MH,Bernstein SJ,Deedwania PC,et al.ACC/AHA Guidelines for Ambulatory Electrocardiography:A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the Guidelines for Ambulatory Electrocardiography)\[J\].J Am Coll Cardiol,1999,34(3):912-948.\[2\] 邓国兰,张楠,李骊华,等.使用12导联与3导联分析动态心电图的优劣\[J\].重庆医科大学学报,2010,35(7):1116-1118.\[3\] Cohn PF,Kannel WB. Recognition,pathogenesis,and management options in silent coronary artery disease: introduction\[J\]. Circulation,1987,75(3 Pt2):Ⅱ1.\[4\] 郭继鸿,张海澄.动态心电图最新进展\[M\].北京:北京大学医学出版社,2005:123-125.\[5\] McLenachan JM,Weidinger FF,Barry J,et al. Relations between heart rate, ischemia, and drug therapy during daily life in patients with coronary artery disease\[J\].Circulation,1991,83(4):1263-1270.\[6\] 刘丽莹,杨毅杰.12导联动态心电图对无症状性心肌缺血的诊断价值\[J\].实用心电学杂志,2008,17(2):127.\[7\] 杨春,杨艳萍,李旭明.12导联动态心电图对无症状心肌缺血的诊断价值\[J\].中国临床医学,2012,19(5):545-546.\[8\] Patel DJ,Knight CJ,Holdright DR,et al. Pathophysiology of transient myocardial ischemia in acute coronary syndromes. Characterization by continuous STsegment monitoring\[J\]. Circulation,1997,95(5):1185-1192.\[9\] 冯晓霞,林碧珠.12导联动态心电图对冠心病心肌缺血的诊断价值\[J\].广东医学院学报,2007,25(3):281-282.