Objective To investigate the clinical value of dynamic
electrocardiogram (
ECG),
heart color Doppler ultrasound in the
diagnosis of the
paroxysmal atrial fibrillation .
Methods A total of 130 cases of suspected
paroxysmal atrial fibrillation in Zhejiang Rongjun
Hospital were included in the study .The
patients received routine
ECG,dynamic
ECG,
heart color Doppler ultrasound examination ,the examination results were analyzed .The clinical comprehensive
diagnosis was used as the diagnostic reference ,the diagnostic
sensitivity,
specificity,accuracy of three
methods in the
diagnosis of
paroxysmal atrial fibrillation were compared .And the consistency coefficient of three examination results and
clinical diagnosis of
paroxysmal atrial fibrillation was compared .Results The
sensitivity,
specificity and accuracy of the
heart color Doppler ultrasound in
diagnosis of
paroxysmal atrial fibrillation were 94.23%,96.15%,94.61%,respectively,which of the dynamic
ECG were 97.12%,100.00%,97.69%,respectively, which of the routine
ECG were 83.65%,76.92%,82.31%,respectively.The diagnostic
sensitivity ,
specificity and accuracy of the
heart color Doppler ultrasound were higher than those of the routine
ECG (χ2=5.915,4.127,9.646, all P<0.05).The diagnostic
sensitivity,
specificity and accuracy of the dynamic
ECG were also higher than those of the routine
ECG(χ2=10.843,6.783,17.094,all P<0.05),the differences of the
heart color Doppler ultrasound and dynamic
ECG were not statistically significant (χ2=1.045,1.020,1.664,all P>0.05).The consistency coeffi-cient of the
heart color Doppler ultrasound ,dynamic
ECG with the results of
clinical diagnosis were 0.735,0.762, respectively,which was higher than that of the routine
ECG .Conclusion Dynamic
ECG,
heart color Doppler ultra-
sound in the
diagnosis of
paroxysmal atrial fibrillation has higher accuracy ,
sensitivity and specificity,which can be used as the main means of
diagnosis of
paroxysmal atrial fibrillation .