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Abstract Objective To evaluate the effect of external counterpulsation rehabilitation therapy on patients with hypertension by automatic ECG monitoring. Methods Automatic ECG monitoring was carried out on 103 patients with hypertension, respectively at the beginning of external counterpulsation rehabilitation therapy, one week and three weeks after the treatment. The recorded ECGs were analyzed and the curative effect of external counterpulsation was compared.Results During the external counterpulsation rehabilitation therapy, 2 469 strips of ECGs were recorded. At the beginning of the therapy, one week and three weeks afterwards, the effective records accounted separately for 95.1%, 96.3% and 98.0% (P<0.01) of all the actually recorded ones, with an increasing trend; the heart rate declined at a rate of 41.7%, 62.1% and 77.7% (P<0.001) respectively, also with an increasing trend; the proportion of arrhythmia patients was 33.0%, 25.2% and 18.4% (P=0.056), with a decreasing tendency.Conclusion Automatic ECG monitoring can observe the changes of heart rate of hypertension patients effectively and record arrhythmias during the treatment of external counterpulsation rehabilitation therapy. With prolongation of treatment time, the effective percentage of automatically recorded ECGs increases progressively, heart rate decreases gradually, and the incidence of arrhythmia shows a decreasing trend.
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