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Gut. 1990 Feb;31(2):127-8. doi: 10.1136/gut.31.2.127.
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本文引用的文献

1
Technique, indications, and clinical use of 24 hour esophageal pH monitoring.24小时食管pH监测的技术、适应证及临床应用
J Thorac Cardiovasc Surg. 1980 May;79(5):656-70.
2
Silent myocardial ischemia during ambulatory electrocardiographic monitoring in patients with effort angina.劳力型心绞痛患者动态心电图监测中的无症状心肌缺血
J Am Coll Cardiol. 1983 Mar;1(3):934-9. doi: 10.1016/s0735-1097(83)80213-7.
3
[Usefulness of the combination of the dynamic electrocardiogram with esophageal pH measurement in the differential diagnosis of chest pain].动态心电图与食管pH值测量联合应用在胸痛鉴别诊断中的价值
G Ital Cardiol. 1984 Dec;14(12):982-9.
4
[24-hour pH measurement and Holter ECG monitoring in studying patients with angina-like chest pain. Our experience].[24小时pH值测量和动态心电图监测在类心绞痛胸痛患者研究中的应用。我们的经验]
Minerva Med. 1986 May 7;77(19):787-92.
5
24-hour recording of esophageal pressure and pH in patients with noncardiac chest pain.非心源性胸痛患者食管压力和pH值的24小时记录
Gastroenterology. 1986 Jun;90(6):1978-84. doi: 10.1016/0016-5085(86)90270-2.
6
Esophageal disease as a cause of noncardiac chest pain.
Adv Intern Med. 1988;33:311-35.
7
Twenty-four-hour monitoring of esophagopharyngeal pH in outpatients. Use of four-channel pH probe and computerized system.门诊患者食管咽部pH值的24小时监测。使用四通道pH探头和计算机系统。
J Thorac Cardiovasc Surg. 1986 May;91(5):716-22.
8
The oesophagus as a cause of recurrent chest pain: which patients should be investigated and which tests should be used?
Lancet. 1985 Nov 23;2(8465):1143-6. doi: 10.1016/s0140-6736(85)92676-5.
9
Oesophageal stimulation lowers exertional angina threshold.
Lancet. 1985 May 4;1(8436):1011-4. doi: 10.1016/s0140-6736(85)91614-9.
10
Limitations of continuous ambulatory electrocardiogram monitoring for detecting coronary artery disease.动态心电图监测在检测冠状动脉疾病方面的局限性。
Ann Intern Med. 1978 Jul;89(1):1-5. doi: 10.7326/0003-4819-89-1-1.

食管pH值变化期间的心电图记录

ECG record during changes in oesophageal pH.

作者信息

Wani M, Hishon S

机构信息

Department of Medicine, James Paget Hospital, Great Yarmouth, Norfolk.

出版信息

Gut. 1990 Feb;31(2):127-8. doi: 10.1136/gut.31.2.127.

DOI:10.1136/gut.31.2.127
PMID:2311968
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1378364/
Abstract

Seventeen patients with non-cardiac chest pain were investigated by simultaneous ambulatory 24 hour ECG and oesophageal pH monitoring. While 11 patients lowered their oesophageal pH below 4 for a significant percentage, (3.4%) of recorded time and experienced chest pain, no simultaneous ECG changes occurred. In 10 patients chest pain was reproduced by an oesophageal acid perfusion test (Bernstein test). No changes in ECG record during the test were shown. We conclude that although reflux oesophageal pain may be difficult to differentiate from cardiac pain, clinically oesophageal pH changes do not produce any ECG changes.

摘要

对17例非心源性胸痛患者进行了24小时动态心电图和食管pH值同步监测。11例患者食管pH值降至4以下的时间占记录时间的显著比例（3.4%）并出现胸痛，但未同时出现心电图改变。10例患者经食管酸灌注试验（伯恩斯坦试验）诱发出胸痛，试验期间心电图记录无变化。我们得出结论，尽管反流性食管疼痛可能难以与心脏性疼痛相鉴别，但临床上食管pH值变化不会引起任何心电图改变。