动态心电图对晕厥患者的诊断价值

摘要

Objective:To explore the diagnostic value of dynamic electrocardiogram (DCG ) in syncope patients . Methods :A total of 148 inpatients and outpatients ,who were diagnosed as syncope in our hospital from 2010 to 2013 ,received 24h DCG examination .Results:Among the 148 patients ,there were 94 cases (63.5% ) with abnor‐mal DCG ,40 cases (27.0% ) occurred syncope during monitoring ,25 cases (16.9% ) occurred syncope‐related ar‐rhythmias ,another one case manifested as atrial fibrillation with rapid ventricular rate during monitoring but didn't appear syncope‐related symptoms such as dizziness and amaurosis etc .,15 patients (10.1% ) occurred syncope‐relat‐ed symptoms during monitoring ,but DCG examination didn't find arrhythmias .Conclusion:Dynamic electrocardio‐gram examination can find syncope‐related arrhythmias ,then they may receive related therapeutic measures for im‐proving prognosis .%目的：探讨动态心电图对晕厥的诊断价值。方法：对我院2010年到2013年148例诊断为晕厥的门诊及住院病人行长程心电图检查。结果：148例患者中，动态心电图异常者94例（63.5％），有40例（27.0％）患者在监测期间发生了晕厥，有25位（16.9％）患者出现了与晕厥相关的心律失常，另外1例患者在监测期间表现为快室率房颤，但并未出现与晕厥相关的症状如头晕、黒朦等，有15例（10.1％）患者在监测过程中出现了与晕厥相关的症状，但动态心电图检查并没有发现心律失常。结论：动态心电图检查可以发现与晕厥有关的心律失常，从而可接受相应治疗，改善预后。