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The Role of Holter Monitoring in the Diagnosis of Early Repolarisation Pattern

机译：holter监测在早期复极性模式诊断中的作用

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摘要

BackgroundA slower heart rate can exaggerate J-point elevation in a 12-lead ECG. This study examined the role of Holter monitoring in the diagnosis of early repolarisation pattern (ERP). MethodsWe examined 24-hour Holter recordings of 4000 consecutive patients seen at an outpatient clinic, and found 500 patients (12.5%) with ERP (based on J-point elevation magnitude maximum value≥0.1mV on the Holter recording). The highest magnitude of J-point elevation, R wave amplitude, the ratio between J-point elevation magnitude and R-wave amplitude on the same ECG lead (J/R ratio), QRS interval, and QT/QTc interval were measured on the Holter recording and on a surface 12-lead ECG of the 500 patients with ERP. The magnitude of J-point elevation, J/R ratio, and QT/QTc interval were compared between three groups: nighttime Holter recording, daytime Holter recording, and daytime surface 12-lead ECG. ResultsThe magnitude of J-point elevation of the nighttime Holter (0.20±0.10mV) was higher than that of the daytime in Holter (0.12±0.07mV, p<0.001) and the 12-lead ECG (0.12±0.06mV, p<0.001). There was no statistical difference in magnitude of J-point elevation between daytime Holter and surface 12-lead ECG. While all 500 patients were diagnosed with ERP based on J-point elevation maximum value J-point on Holter monitoring, only 425 (85%) patients could be diagnosed with ERP based on the surface 12-lead ECG. The J-point elevation maximum value on the nighttime Holter was negatively correlated with heart rate (r=?0.15, p=0.0007) and QTc (r=?0.13, p=0.0043), and positively correlated with R wave amplitude (r=0.46, p<0.0001), J/R ratio (r=0.69, p<0.0001), and QRS interval (r=0.29, p<0.0001). ConclusionsThe J-point elevation on nighttime Holter recording was higher than that on daytime Holter and daytime surface 12-lead ECG, and there was misdiagnosis of ERP based on daytime surface 12-lead ECG. Holter monitoring has a complementary role in the diagnosis of ERP, especially in patients with a suspected diagnosis of ERP based on daytime surface 12-lead ECG.
机译：Backgrounda在12引导ECG中可以夸大J点海拔。本研究检测了HOLTER监测在早期复对模式（ERP）诊断中的作用。方法在门诊诊所检查了4000名连续患者的24小时历史记录，并发现500名患者（12.5％），ERP（基于HOSTER记录上的J点高度幅度≥0.1mV）。在相同的ECG引线（J / R比），QRS间隔和QT / QT / QT / QT / QT / QT / QT / QT / QT / QT / QT / QT / QT / QT / QT / QT / QT / QT / QT / QT间隔中的最高幅度R波幅度，R波幅度，j点高度幅度和R波幅度之间的比率Holter记录和500例ERP患者的表面12引导ECG。在三组之间比较了J点升高，J / R比和QT / QT / QT / QT / QT / QT / QT间隔的幅度。夜间HOLTER的J-POINT升高的结果高于HOSTER中的白天（0.20±0.07mV，P <0.001）和12引导ECG（0.12±0.06mV，p < 0.001）。白天Holter和表面12引导ECG之间的J点高度幅度没有统计差异。虽然所有500名患者都被诊断为基于ERP的ERP，基于HOSTTER监测的J点仰角，只有425（85％）患者可以基于表面12引导ECG诊断使用ERP。夜间孔的J点高度值与心率呈负相关（r = 0.15，p = 0.0007）和qtc（r =Δ0.13，p = 0.0043），并与R波幅度呈正相关（r = 0.46，P <0.0001），J / R比（r = 0.69，P <0.0001）和QRS间隔（r = 0.29，p <0.0001）。结论夜间历史上的J-Point海拔高于白天Holter和白天表面12引导ECG的高度高度，基于白天表面12引导ECG的ERP误诊。 HOLTER MOTROTION在ERP的诊断中具有互补作用，特别是在患者基于白天表面12引导ECG的疑似诊断ERP患者。

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  • 来源
    《Heart, lung & circulation》 |2018年第12期|共7页
  • 作者

    Cheng-Cheng Ji; Xu-Miao Chen; Yun-Jiu Cheng; Li-Juan Liu; Kai Tang; Wei-Qi Zhu; Ying Huang; Wei-Ying Chen; Su-Hua Wu;

  • 作者单位

    Department of Cardiology the First Affiliated Hospital of Sun Yat-Sen University and Key;

    Department of Cardiology the First Affiliated Hospital of Sun Yat-Sen University and Key;

    Department of Cardiology the First Affiliated Hospital of Sun Yat-Sen University and Key;

    Department of Cardiology the First Affiliated Hospital of Sun Yat-Sen University and Key;

    Department of Cardiology the First Affiliated Hospital of Sun Yat-Sen University and Key;

    Department of Cardiology the First Affiliated Hospital of Sun Yat-Sen University and Key;

    Department of Cardiology the First Affiliated Hospital of Sun Yat-Sen University and Key;

    Department of Cardiology the First Affiliated Hospital of Sun Yat-Sen University and Key;

    Department of Cardiology the First Affiliated Hospital of Sun Yat-Sen University and Key;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 心脏、血管（循环系）疾病;
  • 关键词

    Holter monitoring; Early repolarisation pattern; Electrocardiogram; Diagnosis;

    机译：HOLTER监测;早期的搅拌模式;心电图;诊断;

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