【摘要】 目的探讨12导联远程传输心电监测对无症状心肌缺血的诊断价值。方法选取我院2015年1月—2017年1月收治的39例冠心病患者为研究对象,对患者进行远程心电监测。结果本组39例冠心病患者根据病变支数可分为:6例单支病变,8例双支病变,25例多支病变;根据狭窄程度可分为:3例50%~74%,28例75%~99%,8例100%。39例冠心病患者中,28例有症状,普通心电图检出20例(71.43%),12导联电话传输远程心电监测检出21例(75.00%);11例无症状,普通心电图检出1例(9.09%),12导联电话传输远程心电监测检出7例(63.64%)。12导联电话传输远程心电监测检出无症状心肌缺血比例明显高于普通心电图,差异具有统计学意义(χ2=7.071,P<0.05)。结论12导联电话传输远程心电监测可以帮助临床及早发现无症状心肌缺血,便于患者及时获得治疗,减少心血管事件发生。更多还原

【Abstract】 Objective To evaluate the diagnostic value of 12 lead remote transmission electrocardiogram(ECG) monitoring in silent myocardial ischemia. Methods 39 patients with coronary heart disease admitted in our hospital from January 2015 to January 2017 were selected as subjects. The long distance transmission ECG monitoring was operated on these patients. Results In this group, 39 cases of coronary heart disease were divided into 6 cases of single branch lesion, 8 case of double branch lesion and 25 cases of multi-branch lesion. The degree of stenosis could be divided into 3 cases of 50%~74%, 28 cases of 75%~99% and 8 cases of 100%. Of the 39 patients with coronary heart disease, 28 cases had symptoms, 20 cases(71.43%) were detected by common electrocardiogram, and 21 cases(75.00%) were detected by remote ECG monitoring by 12 lead telephone transmission, 11 cases had no symptoms, 1 case(9.09%) was detected by common electrocardiogram, and 7 cases(63.64%) was detected by remote ECG monitoring by 12 lead telephone transmission. The ratio of asymptomatic myocardial ischemia detected by remote ECG monitoring by 12 lead telephone transmission was significantly higher than that of ordinary ECG, and the difference was statistically significant(χ2=7.071, P <0.05). Conclusion 12 lead telephone transmission remote ECG monitoring can help to get early detection of asymptomatic myocardial ischemia, facilitate patients to get treatment in time and reduce the incidence of cardiovascular events.更多还原