|
|
Comparative analysis on 12 lead ambulatory electrocardiography and routine electrocardiogram in diagnosing early repolarization syndrome |
|
|
Abstract Objective To compare the detection rates of early repolarization syndrome(ERS) by 12 lead ambulatory electrocardiography(AECG) and routine electrocardiogram(ECG), and to reveal the former's diagnostic value. Methods Retrospective analysis was made on 3 967 cases of 12 lead AECG data. The above two electrocardiographic examination methods were utilized in screening ERS, strictly according to diagnostic criteria. The differences of ST segment and T wave in two different lead connection methods were comparatively analyzed. Results By 12 lead AECG, 81 ERS patients were screened out of the enrolled candidates, with a detection rate of 2.04%. There were 73 males(90.12%) and 8 females(9.88%), and the difference between the proportion of males and females was statistically significant(P<0.01). The detection rate of ERS in 31-45 years old age group was higher than that in other age groups. However, only 9 ERS patients were screened out by routine 12 lead ECG(detection rate 0.23%). Conclusion The detection rate of ERS by 12 lead AECG is higher than that by routine 12 lead ECG. Twelve lead AECG can reflect ECG features of the disease better, especially the relationship between characteristic changes of ST-T segment and patients' heart rate as well as rational symptom. Therefore, this method is clinically valuable in diagnosing ERS.
|
Received: 20 October 2014
|
|
|
|
\[1\] 王健, 孙朝阳. 早复极综合征误诊临床分析\[J\]. 中国当代医药, 2013, 20(19):137, 139.\[2\] 全国卫生专业技术资格考试专家委员会. 卫生专业技术资格考试指导:心电学技术\[M\].北京:人民卫生出版社, 2006:260.\[3\] 郭继鸿, 张萍. 动态心电图学\[M\]. 北京:人民卫生出版社, 2003:138-140.\[4\] 杨东溟. 常规心电图ST与12导动态心电图T参数差异的研究综述\[J\]. 中国保健营养, 2012, 22(5):1132.\[5\] 郭继鸿. 新概念心电图\[M\]. 3版. 北京:北京大学医学出版社, 2007:100-101.\[6\] 郭继鸿. 心电图学\[M\]. 北京:人民卫生出版社, 2002:767-775.\[7\] 王媛媛, 田峰, 亓云玲, 等. 12导联动态心电图在早复极综合征诊断中的价值\[J\]. 实用心电学杂志, 2008, 17(3):179-180.\[8\] 邵春丽, 楚建民, 朱俊, 等. QRS波群“窄而高”的早期复极综合征患者反复发生心室颤动一例\[J\]. 中华心血管病杂志, 2013, 41(12):1061-1062.\[9\] 3]王健, 侯玉娟, 孙朝阳. J波改变56例的心电图分析\[J\]. 中国当代医药, 2014, 21(1):52-53, 56. |
|
|
|