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[动态心电图监测、踏车运动试验及心内电生理检查对酒精性心脏损害患者心律失常的诊断价值]

[Diagnostic value of diurnal ECG monitoring, the bicycle exercise test and intracardiac electrophysiological study in the detection of arrhythmia in patients with alcoholic lesions of the heart].

作者信息

Smetnev A S, Gorgaslidze A G, Zinkin A V, Grudtsyn G V, Batyraliev T A

出版信息

Ter Arkh. 1988;60(1):49-51.

PMID:3363509
Abstract

Altogether 53 patients with stage II chronic alcoholism were investigated to study the diagnostic significance of circadian ECG monitoring (CECGM), bicycle ergometry (BEM) and intracardiac electrophysiological investigation (EPI) in the detection of arrhythmias. The results obtained suggested that the most informative method of diagnosis of paroxysmal arrhythmias in patients with alcoholic cardiac lesions was EPI with which arrhythmical paroxysms were detected in 29.6%, whereas CECGM and BEM turned out diagnostically significant in 7.4%. Occult arrhythmical paroxysms were detected for the first time using EPI of the heart.

摘要

共对53例II期慢性酒精中毒患者进行了研究,以探讨动态心电图监测(CECGM)、踏车运动试验(BEM)和心内电生理检查(EPI)在检测心律失常方面的诊断意义。所得结果表明,对于酒精性心脏病变患者,诊断阵发性心律失常最具信息价值的方法是EPI,通过该方法检测到心律失常发作的比例为29.6%,而CECGM和BEM的诊断意义为7.4%。通过心脏EPI首次检测到隐匿性心律失常发作。

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