Three-minute ECG Recording and Arrythmia Detection in the Evaluation and Promotion of Health
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Three-minute ECG recording is useful for the frequent detection of arrhythmia. To examine the effectiveness of the technique, we compared the ferequency of newly detected arrythmia in a 3-minute ECG recording between subjects (<I>n</I>=1, 525) with symptoms or past histories of arrythmia or heart diseases who had visited the Toma Health Evaluation and Promotion Center and randomly selected normal controls (<I>n</I>=363) . All participants first underwent a regular ECG recording, and then a 3-minute recoiling. A regular ECG showed 372 subjects to have arrhythmia (premature contraction, atrial fibrillation, or WPWsyndrome) and/or atrioventricular block. Of the remaining 1, 153 subjects without arrhythmia on the ECG at rest, the 3-minute recording detected arrythmia, such as supraventricular premature contraction and/or ventricular premature contraction, in 102 subjects. Detection of arrhythmia was more frequent in the subjects than in normal controls (8.8% vs. 1.7%, <I>p</I><0.05) .<BR>Premature contraction was most frequently found in the 471 subjects for whom a past history was available, with 370 having a history of premature contraction. The three-minute recording detected arrhythmia more frequently in the subjects with a psat history of premature contraction than in normal controls (11.1% vs. 1.7%, <I>p</I><0.05) .<BR>Palpitation was most frequent symptom found in the 750 subjects with previous symptoms, with 316 complaining of palpitation. Newly detected arrythmia (supraventricular premature contraction or ventricular premature contraction) was more frequently detected in the subjects with palpitation than in the controls (10.4% vs. 1.7% <I>p</I><0.05) .<BR>In conclusion, a 3-minute ECG recording seems to be useful for detecting premature contractions in subjects with palpitation and/ or a past history of premature contractions, even if arrythmia is not shown on a regular ECG recording at rest.
- 一般社団法人 日本総合健診医学会の論文
一般社団法人 日本総合健診医学会 | 論文
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