Borggrefe M, Breithardt G
Department of Cardiology University of Münster, FRG.
Cardiovasc Drugs Ther. 1990 Jun;4 Suppl 3:555-8. doi: 10.1007/BF00357029.
Both Holter monitoring and programmed ventricular stimulation are useful techniques for guiding antiarrhythmic therapy. However, they are not both appropriate for all patients. Holter monitoring is only useful in patients who have consistent and frequent ventricular ectopic beats, and programmed ventricular stimulation requires that the patients have an arrhythmia that is reproducible and inducible. Patients for whom these techniques are used to identify agents that are effective for control of their arrhythmias generally have a better prognosis than those patients for whom an effective agent is not found. Programmed ventricular stimulation may have a better predictive value than Holter monitoring, but the comparison may not be valid, because the procedures are used in different types of patients.
动态心电图监测和程控心室刺激都是指导抗心律失常治疗的有用技术。然而,它们并非适用于所有患者。动态心电图监测仅对有持续且频发室性早搏的患者有用,而程控心室刺激要求患者有可重复诱发的心律失常。使用这些技术来确定对控制心律失常有效的药物的患者,其预后通常比未找到有效药物的患者更好。程控心室刺激可能比动态心电图监测具有更好的预测价值,但这种比较可能并不有效,因为这两种检查应用于不同类型的患者。