Case analysis

　　The intermittence is flustered the chest stuffy ordinary electrocardiogram not to be able to find out the question

　　48 year-old Aunt Zhang liang ge yue lai always thought recently “is flustered hurriedly, the heart jumps probably quickly the throat”. She worried that her heart have the question, might arrive at the different hospital to make three electrocardiograms, the result was very each time normal.

　　Three electrocardiogram results are normal

　　“looks up the question certainly not to be good, but I am thought that not too suits!”Aunt Zhang said that as soon as two she just completed the electrocardiogram from the hospital to get the home, thought that the chest starts to stop up hurriedly, therefore, she suspected: Should not be the machine does not permit? May look for the third hospital again, the result is the same. “the electrocardiogram this kind of inspection project, makes one not be able to completely understand really!”

　　When Aunt Zhang arrives at some Chinese medicine hospital, hoped that doctor when opens the traditional Chinese medicine recuperation to her, doctor also suggested that she makes the electrocardiogram. She puts out several check results not happily very much: “is not I cannot pay, did not need to waste this money really, I looked that looked up uselessly again also!”

　　Dynamic electrocardiogram discovery arrythmia

　　Doctor smiles is asking her: “what you do is the ordinary electrocardiogram, each time inspects when the symptom is not obvious?”Doctor suggested that Aunt Zhang makes a dynamic electrocardiogram again, “track time long somewhat, will possibly have the recent discovery.”

　　Aunt Zhang has accepted a 24 hour dynamic electrocardiogram inspection half believing and half doubting, finally demonstrated that her arrythmia, must make the just right for the illness treatment truly.

　　“Aunt Zhang this kind because of chooses the phenomenon which the wrong inspection way appears leaks many times examines not to be rare likely on clinical, this is also some patients suspected that the electrocardiogram inspects `is whether useless ' reason.”Guangzhou Chinese medicine University first affiliated hospital medicine technique branch Assistant Director technician Li Jianbin expressed.

　　Li Jianbin said that on the clinical common electrocardiogram inspection divided into the ordinary electrocardiogram inspection, the dynamic electrocardiogram inspection and the movement electrocardiogram inspects three kinds, “only then aimed at the individual situation to choose the right inspection way, could reduce the probability which leaked examines.”

　　More expensive is safer?

　　Only then suitable or not does not have “in any case” the difference

　　Although the dynamic electrocardiogram expensive, but record the information content is big, then chooses the expensive inspection to be safer? Li Jianbin pointed out: The different electrocardiogram inspection way only then the suitable or not division, does not have “in any case” the difference actually.

　　According to Li Jianbin introduced that the ordinary electrocardiogram and the dynamic electrocardiogram's difference lies, the ordinary electrocardiogram convention may make 12 to lead the association, even may also according to need to add makes the attachment to lead the association, can therefore reflect the heart different spot comprehensively the situation.

　　Comparatively, at present uses the dynamic electrocardiogram many are 3 leads the joint synchronized record, can only reflect that the heart partial heart electric wave change, cannot observe heart various spots synchronously the situation, has certain difficulty to the morbidity spot localization.

　　Even if 12 will lead unites the synchronized record also to have a part of region to be unable to observe, furthermore between will lead unites the mutual disturbance, at present the effective method has not avoided.

　　Moreover, the patient after wearing the dynamic heart electricity recording instrument is at the free active state, is increased immediately element of certainty's influence, the electricity pole piece, leads on-line and so on quality quality possibly to affect the graph record quality.

　　Two kind of electrocardiograms are the supplements mutually

　　“the ordinary electrocardiogram and the dynamic electrocardiogram inspection has the length respectively, the former is recognized as generally the routine inspection, but the latter is extends and expands, both are the supplements mutually, indispensable.”