Clinical significance of remote electrocardiogram monitoring for diagnosis of arrhythmia

Zhang Caiping; Wang Yaoyong; Zhang Xiaofei

doi:10.3969/j.issn.1674-7151.2023.04.019

Abstract：Objective To explore the clinical significance of remote electrocardiogram monitoring in diagnosis of patients with coronary heart disease combined with arrhythmia.Methods The 200 patients with coronary heart disease who visited the cardiology department in Fenyang Hospital of Shanxi Province from January 2022 to January 2023 were selected as research objects.All the patients underwent regular 12 lead electrocardiogram examination and remote electrocardiogram monitoring.The detectable rates of the two examination methods for diagnosing coronary heart disease patients with concomitant arrhythmia and the diagnostic results for sudden cardiac death were compared and analyzed.Results A common 12 lead electro-cardiogram was used to detect arrhythmia in 96 patients,with a detectable rate of 48.00%(96/200),and remote electrocardiogram monitoring detected 156 patients with arrhythmia,with a detectable rate of 78.00%(156/200).Remote electrocardiogram monitoring showed significantly higher incidence of arrhythmia compared to regular 12 lead electrocardiogram(P<0.05).The detectable rates of sinus arrhythmias,atrial arrhythmias and ventricular arrhythmias in remote electrocardiogram monitoring were significantly higher than those in conventional 12 lead electrocardiograms[sinus arrhythmias:26.00%(52/200)vs.15.00%(30/200),atrial arrhythmias:23.00%(46/200)vs.13.5%(27/200),ventricular arrhythmias:16.00%(32/200)vs.9.50%(19/200),all P<0.05].Among 200 patients,21 cases experienced sudden cardiac death.Comparing the diagnostic results of conventional 12 lead electro-cardiogram and remote electrocardiogram monitoring for sudden cardiac death,the diagnostic accuracy of remote electrocardiogram monitoring was higher than that of conventional 12 lead electrocardiogram examination(99.00%vs.93.00%,P<0.05).Conclusion Remote electrocardiogram monitoring could more timely and accurately diagnose various types of arrhythmia,providing strong evidence for the diagnosis and treatment of patients with coronary heart disease complicated with arrhythmia.