Application value of long-term electrocardiogram monitoring with adhesive patch in patients with palpitation
- Journal of Chongqing Medical University Vol. 50, Issue 6, Pages: 843-848(2025)
- 作者机构：
重庆医科大学附属第一医院心血管内科，重庆 400016
- 作者简介：
- 基金信息：
DOI：10.13406/j.cnki.cyxb.003822
CLC： R541.7Received：17 October 2024，
Revised：2025-01-24，
Accepted：06 February 2025，
Published：28 June 2025
- 稿件说明：
移动端阅览
何文一,蒋秋月,彭欢欢,等.贴附式长程心电监测在心悸患者中的应用价值[J].重庆医科大学学报,2025,50(6):843-848.
He Wenyi,Jiang Qiuyue,Peng Huanhuan,et al.Application value of long-term electrocardiogram monitoring with adhesive patch in patients with palpitation[J].Journal of Chongqing Medical University,2025,50(6):843-848.
何文一,蒋秋月,彭欢欢,等.贴附式长程心电监测在心悸患者中的应用价值[J].重庆医科大学学报,2025,50(6):843-848. DOI： 10.13406/j.cnki.cyxb.003822.
He Wenyi,Jiang Qiuyue,Peng Huanhuan,et al.Application value of long-term electrocardiogram monitoring with adhesive patch in patients with palpitation[J].Journal of Chongqing Medical University,2025,50(6):843-848. DOI： 10.13406/j.cnki.cyxb.003822.
摘要
目的
2
探讨贴附式72 h长程三导联心电监测在心悸患者中的应用价值。
方法
2
回顾性分析重庆医科大学附属第一医院因心悸行贴附式72 h长程三导联心电监测的患者病史和心电图资料。比较24 h和72 h监测期间心律失常及一过性ST-T改变的发生率，并分析72 h心律失常及一过性ST-T改变检出率减去24 h 检出率得到的率差在年龄、高血压、高脂血症、冠心病等不同危险因素下的差异。
结果
2
216例心悸患者中，72 h 监测各类心律失常及一过性ST-T改变检出率均高于24 h监测（
P
<
0.05）。年龄
<
60岁患者的房性早搏率差明显高于≥60岁患者的率差（
P
<
0.01）。高血压患者的房性早搏率差低于非高血压患者率差（
P
<
0.05）。非高血压患者或非冠心病患者中T波改变的率差异明显高于高血压或冠心病患者（
P
<
0.01）。与24 h三导联心电监测相比，贴附式72 h三导联心电监测可明显提高心律失常及一过性ST-T改变检出率。在年龄
<
60岁或未合并高血压的心悸患者中，贴附式电极72 h三导联心电图监测对自觉症状相符的房性早搏更敏感；在未合并高血压或冠心病的心悸患者中，贴附式电极72 h三导联心电图监测对症状相关的一过性T波改变更敏感。
结论
2
贴附式72 h长程三导联心电监测极大地促进了诊断的准确性和时效性，同时也减轻了心悸患者的经济负担，实现了医疗资源的优化配置。
Abstract
Objective
2
To investigate the application value of 72-hour three-lead electrocardiogram（ECG） monitoring with adhesive patch （AP） in patients with palpitation.
Methods
2
A retrospective analysis was performed for the medical history and ECG data of the patients who underwent 72-hour three-lead ECG monitoring with AP due to palpitation in The First Affiliated Hospital of Chongqing Medical University. The incidence rates of arrhythmia and transient ST-T changes were compared at 24 and 72 hours，as well as the rate difference between the detection rate of arrhythmia and transient ST-T changes at 72 hours and the detection rate at 24 hours in the context of various risk factors such as age，hypertension，hyperlipidemia，and coronary heart disease.
Results
2
Among the 216 patients with palpitation，the detection rates of various types of arrhythmia and transient ST-T changes at 72 hours were significantly higher than those at 24 hours（
P
<
0.05）. The rate difference of atrial premature beats in patients aged
<
60 years was significantly higher than that in patients aged ≥60 years（
P
<
0.01）. The rate difference of atrial premature beats in hypertensive patients was lower than that in non-hypertensive patients（
P
<
0.05）. The rate difference of T-wave changes in patients without hypertension or coronary heart disease was greater than that in patients with hypertension or coronary heart disease（
P
<
0.01）. Compared with 24-hour three-lead ECG monitoring，72-hour three-lead ECG monitoring with AP can significantly improve the detection rate of arrhythmia and transient ST-T changes. In patients with palpitation aged
<
60 years or without hypertension，72-hour three-lead ECG monitoring with AP is more sensitive to atrial premature beats which are consistent with self-perceived symptoms，and in patients with palpitation without hypertension or coronary heart disease，72-hour three-lead ECG monitoring with AP is more sensitive to transient T-wave changes associated with symptoms.
Conclusion
2
The technique of 72-hour three-lead ECG monitoring with AP greatly promotes the accuracy and timeliness of diagnosis，reduces the economic burden of patients with palpitations，and optimizes the allocation of medical resources.
关键词
Keywords
references
Reiffel JA ， Schwarzberg R ， Murry M . Comparison of autotriggered memory loop recorders versus standard loop recorders versus 24-hour Holter monitors for arrhythmia detection [J ] . Am J Cardiol ， 2005 ， 95 （ 9 ）： 1055 - 1059 .
Wiesel J ， Spinelli M . Subclinical atrial fibrillation and the risk of stroke [J ] . N Engl J Med ， 2012 ， 366 （ 14 ）： 1351 .
Kim JY ， Oh IY ， Lee H ， et al . The efficacy of detecting arrhythmia is higher with 7-day continuous electrocardiographic patch monitoring than with 24 h Holter monitoring [J ] . J Arrhythm ， 2023 ， 39 （ 3 ）： 422 - 429 .
何 佳 ， 刘 俊 ， 黄建凤 ， 等 . 贴附式长程动态心电监测在心血管专科门诊患者中的应用价值 [J ] . 中华心律失常学杂志 ， 2021 ， 25 （ 2 ）： 132 - 136 .
He J ， Liu J ， Huang JF ， et al . Application value of long-term continuous electrocardiogram monitoring in cardiovascular outpatients [J ] . Chin J Card Arrhythm ， 2021 ， 25 （ 2 ）： 132 - 136 .
Steinberg JS ， Varma N ， Cygankiewicz I ， et al . 2017 ISHNE-HRS expert consensus statement on ambulatory ECG and external cardiac monitoring/telemetry [J ] . Ann Noninvasive Electrocardiol ， 2017 ， 22 （ 3 ）： e12447 .
Liu CM ， Chang SL ， Yeh YH ， et al . Enhanced detection of cardiac arrhythmias utilizing 14-day continuous ECG patch monitoring [J ] . Int J Cardiol ， 2021 ， 332 ： 78 - 84 .
Halimi F ， Sabouret P ， Huberman JP ， et al . Atrial fibrillation detection with long-term continuous Holter ECG recording in patients with high cardiovascular risk and clinical palpitations：the prospective after study [J ] . Clin Res Cardiol ， 2023 ， 112 （ 6 ）： 807 - 814 .
Kwon S ， Lee SR ， Choi EK ， et al . Comparison between the 24-hour holter test and 72-hour single-lead electrocardiogram monitoring with an adhesive patch-type device for atrial fibrillation detection：prospective cohort study [J ] . J Med Internet Res ， 2022 ， 24 （ 5 ）： e37970 .
Garg L ， Moss J ， Hyman MC ， et al . Simultaneous comparison of patch versus multielectrode cardiac monitoring for the detection of arrhythmias：The COMPARE study [J ] . Heart Rhythm ， 2023 ， 20 （ 8 ）： 1202 - 1203 .
Barrett PM ， Komatireddy R ， Haaser S ， et al . Comparison of 24-hour holter monitoring with 14-day novel adhesive patch electrocardiographic monitoring [J ] . Am J Med ， 2014 ， 127 （ 1 ）： 95 .
Brugada J ， Katritsis DG ， Arbelo E ， et al . 2019 ESC Guidelines for the management of patients with supraventricular tachycardiaThe Task Force for the management of patients with supraventricular tachycardia of the European Society of Cardiology （ESC） [J ] . Eur Heart J ， 2020 ， 41 （ 5 ）： 655 - 720 .
Page RL ， Joglar JA ， Caldwell MA ， et al . 2015 ACC/AHA/HRS guideline for the management of adult patients with supraventricular tachycardia：Executive summary：a Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society [J ] . Heart Rhythm ， 2016 ， 13 （ 4 ）： e92-135 .
Hindricks G ， Potpara T ， Dagres N ， et al . 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery （EACTS） [J ] . Russ J Cardiol ， 2021 ， 26 （ 9 ）： 4701 .
Johnson LSB ， Persson AP ， Wollmer P ， et al . Irregularity and lack of p waves in short tachycardia episodes predict atrial fibrillation and ischemic stroke [J ] . Heart Rhythm ， 2018 ， 15 （ 6 ）： 805 - 811 .
Ahmed S ， Hisamatsu T ， Kadota A ， et al . Premature atrial contractions and their determinants in a general population of Japanese men [J ] . Circ J ， 2022 ， 86 （ 8 ）： 1298 - 1306 .
Stein PK ， Barzilay JI ， Chaves PHM ， et al . Heart rate variability and its changes over 5 years in older adults [J ] . Age Ageing ， 2009 ， 38 （ 2 ）： 212 - 218 .
Conen D ， Adam M ， Roche F ， et al . Premature atrial contractions in the general population：frequency and risk factors [J ] . Circulation ， 2012 ， 126 （ 19 ）： 2302 - 2308 .
郭继鸿 . 新概念心电图 [M ] . 5版 . 北 京 ： 北京大学医学出版社 ， 2021 ： 626 - 632 .
Guo JH . New Concept Electrocardiogram [M ] . 5th Edition . Beijing ： Peking University Medical Press ， 2021 ： 626 - 632 .
Yavuz B ， Deniz A ， Ertugrul DT ， et al . A novel echocardiographic marker in hypertensive patients：is diastolic dysfunction associated with atrial electromechanical abnormalities in hypertension? [J ] . J Clin Hypertens（Greenwich） ， 2010 ， 12 （ 9 ）： 687 - 692 .
Konieczny K ， Banks L ， Osman W ， et al . Prolonged P wave duration is associated with right atrial dimensions，but not atrial arrhythmias，in middle-aged endurance athletes [J ] . J Electrocardiol ， 2019 ， 56 ： 115 - 120 .
Stefani LD ， Trivedi SJ ， Ferkh A ， et al . Left atrial mechanics evaluated by two-dimensional strain analysis：alterations in essential hypertension [J ] . J Hypertens ， 2024 ， 42 （ 2 ）： 274 - 282 .
Sutanto H ， Dobrev D ， Heijman J . Angiotensin receptor-neprilysin inhibitor（ARNI） and cardiac arrhythmias [J ] . Int J Mol Sci ， 2021 ， 22 （ 16 ）： 8994 .
Joung B . Risk factor management for atrial fibrillation [J ] . Korean Circ J ， 2019 ， 49 （ 9 ）： 794 - 807 .
Dzeshka MS ， Shahid F ， Shantsila A ， et al . Hypertension and atrial fibrillation：an intimate association of epidemiology，pathophysiology，and outcomes [J ] . Am J Hypertens ， 2017 ， 30 （ 8 ）： 733 - 755 .
高血压精准化诊疗专家共识组 , 老年心脑血管病教育部重点实验室 ， 曾春雨 ， 等 . 高血压精准化诊疗中国专家共识（2024） [J ] . 中华高血压杂志 ， 2024 ， 3 （ 6 ）： 505 - 519 .
Expert Consensus Group on Precision Diagnosis and Treatment of Hypertension ， Key Laboratory of Geriatric Cardiovascular and Cerebrovascular Diseases of Ministry of Education ， Zeng CY ， et al . Chinese Expert Consensus on Precision Diagnosis and Treatment of Hypertension （2024） [J ] . Chin J Hypertension ， 2024 ， 3 （ 6 ）： 505 - 519 .
Rosenberg MA ， Samuel M ， Thosani A ， et al . Use of a noninvasive continuous monitoring device in the management of atrial fibrillation：a pilot study [J ] . Pacing Clin Electrophysiol ， 2013 ， 36 （ 3 ）： 328 - 333 .
Soliman EZ ， Howard G ， Judd S ， et al . Factors modifying the risk of atrial fibrillation associated with atrial premature complexes in patients with hypertension [J ] . Am J Cardiol ， 2020 ， 125 （ 9 ）： 1324 - 1331 .
Afolabi-Brown O ， Lynn Morris D ， Figueredo VM . Global T-wave inversion on electrocardiogram：what is the differential? [J ] . Rev Cardiovasc Med ， 2014 ， 15 （ 2 ）： 131 - 141 .
Chen WC ， Wu YL ， Hsu YC ， et al . Comparison of continuous 24-hour and 14-day ECG monitoring for the detection of cardiac arrhythmias in patients with ischemic stroke or Syncope [J ] . Clin Cardiol ， 2024 ， 47 （ 3 ）： e24247 .
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