经食道心脏调搏术在冠心病心律失常诊断中的应用价值

摘要/Abstract

摘要： 目的探讨经食道心脏调搏术（ECP）在冠心病患者心律失常诊断中的临床效能。方法回顾性分析本院2023年收治的442例冠心病患者的临床资料，所有患者均在入院首日接受ECP和常规心电图（ECG）检查。比较两种方法在不同类型心律失常中的检出率、灵敏度、特异性与准确度，并通过ROC曲线和Z检验分析其诊断效能。结果 ECP在心律失常总检出率（81.49% vs 55.27%）、灵敏度（86.92% vs 67.53%）、特异性（89.31% vs 81.20%）和准确度（88.14% vs 74.93%）方面均优于ECG。ECP在房性、室性心律失常及传导阻滞中的AUC值显著高于ECG，差异有统计学意义（P<0.05）。结论 ECP较传统ECG在冠心病心律失常诊断中具备更高的诊断效能，能够显著提高早期检出率、降低漏诊风险，具有良好的临床应用与推广价值。

关键词: 经食道心脏调搏术, 心电图, 心律失常, 诊断价值, 冠心病

陈素芳, 洪彩虹, 洪珊珊, 林静. 经食道心脏调搏术在冠心病心律失常诊断中的应用价值[J]. 心血管病防治知识, 2025, 15(20): 7-11.

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