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[心电图遥测技术在心律失常分析中的性能]

[The performance of ECG telemetry in the analysis of rhythm disorders].

作者信息

Lange R, Kunze J, Weber D, Greim I, Walther T, Möbius A, Werner J

出版信息

Z Gesamte Inn Med. 1982 May 15;37(10):299-303.

PMID:7102006
Abstract

630 outpatients and inpatients under rest as well as under conditions of physical loads and psychic stress were examined with the help of a radiobiotelemetry device of own construction, which corresponds to a combination of traditional radiotelemetry and tape storage. In 81.4% of the patients with hitherto unclarified disturbances of the cardiac rhythm telemetry obtained their qualitative clarification. In 50% of all cases with classical angina pectoris symptomatology the ischaemic heart disease was verified by determination of the usual criterias of ECG at the telemetry stripe. Of these 50% only 7 patients had no arrhythmia. In 57.5% of all examined patients with pacemakers of permanent frequency we could prove a considerable parasystoly in load by telemetry. 9 patients with R-demand-pacemakers became evident by triggering defects in load. During the psychoanalytic examination we registered extrasystoles in 25%, apart from this once developed a pancardiac asystolism. The radiobiotelemetry is a valuable completion of the well-known methods of load.

摘要

使用自行研制的放射生物遥测设备,对630名门诊和住院患者在休息状态、体力负荷和精神压力状态下进行了检查,该设备相当于传统放射遥测和磁带存储的结合。在81.4%的既往心律紊乱原因不明的患者中,遥测实现了定性诊断。在所有具有典型心绞痛症状的病例中,50%通过遥测条带上常规心电图标准的测定证实患有缺血性心脏病。在这50%的患者中,只有7名患者没有心律失常。在所有接受检查的永久性频率起搏器患者中,57.5%通过遥测证明在负荷状态下有相当程度的并行心律。9名R需求型起搏器患者在负荷状态下因触发缺陷而显现出来。在精神分析检查期间,我们记录到25%的患者有早搏,除此之外,还曾出现过一次全心停搏。放射生物遥测是已知负荷测试方法的一项有价值的补充。

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