【摘要】 目的为探讨动态心电图对晕厥病因诊断价值。方法对56例患者行1次或多次24 h动态心动图检查,并嘱患者在检查中尽可能诱发晕厥发作,记录其发作时心电图变化。结果56例患者经动态心电图检出各种心律失常24例,占42.86%,其中检出室性心动过速5例,占8.9%,缓慢性心律失常5例,占8.9%。结论动态心电图检查可有效检出心源性晕厥,其简便的诊断方法为临床上防止心脏性猝死提供可靠的诊治依据。更多还原

【Abstract】 Aim To investigate the value of 24-hour ambulatory electrocardiograph(Holter) in diagnosing the cause of syncope.Methods 24-hour ambulatory electrocardiograph was measured in 56 patients once or more times and they were asked to do all to induce syncope in examination.The change of cardiogram was registered during syncope.Results 24 of 56 patients with various arrhythmia were inspected by ambulatory electrocardiograph and the positive ratio was 42.86%.Only 5 cases were diagnosed with ventricular tachycardia and 5 cases with slow arrhythmia and the positive ratio was 8.9% respectively.Conclusions Ambulatory electrocardiograph is a simple diagnostic way which can effectively diagnose cardiogenic syncope.This can offer a faithful means of diagnosis in order to prevent cardiogenic sudden death in clinic.更多还原