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目的:分析心前区不适儿童简易动态心电图结果。方法:采用十二导联动态心电图仪对108例胸闷、气短、心慌或心悸、胸痛患儿进行24h心电图检查并记录,并分析其改变。结果:98.7%的患儿存在1种以上不同程度的心律失常,其中有临床意义的频发室上性早搏12例,频发室性早搏9例,室上性心动过速5例,室上性早搏+室性早搏8例,室上性早搏+室上性心动过速3例。经过治疗,患儿心前区不适症状缓解或消失。结论:对常规心电图正常的心前区不适儿童应进行动态心电图检查,简易动态心电图具有推广使用价值。
Objective: To analyze the results of simple Holter monitoring in precordial area children. Methods: Twenty-two cases of chest tightness, shortness of breath, palpitation or heart palpitations and chest pain were examined by 24-hour electrocardiogram with twelve-lead Holter and recorded and analyzed. Results: There were more than one kind of arrhythmia in more than one kind in 98.7% of children, including 12 cases of clinically significant frequent supraventricular premature beats, 9 cases of frequent premature ventricular contractions, 5 cases of supraventricular tachycardia, 8 cases of premature premature ventricular premature beats, supraventricular premature beats and 3 cases of supraventricular tachycardia. After treatment, children with precordial symptoms relieve or disappear. Conclusions: Ambulatory electrocardiogram should be performed on children with precordial discomfort with normal electrocardiogram. The simplified Holter monitor has the value of popularization and use.