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Objective: To explore effectiveness of clinical application of the patch type dynamic ecg recorder by comparing with conventional dynamic ecg recorder Holter. And the clinical ecg teaching models is discussed in this paper. Methods: Using parallel controlled trial method, 60 patients in two hospitals received Holter examination, and patch heart testing at the same time. A comparative analysis of two kinds of inspection methods on testing the average heart rate, supraventricular premature beats and ventricular premature beat was made. Results: The average heart rate of patch type ECG and Holter were 71.87±9.28 and 72.55±9.06 ( P = 0.0879). Two kinds of detection methods, chamber on the coincidence rate of premature beat (PPS) was 98.33%, 95% CI (91.06, 99.96), Kappa = 0.9462, 95% CI (0.84, 1.00), good consistency. The accuracy of ventricular premature beat (PPS) was 98.33%, 95% CI (91.06, 99.63), Kappa = 0.9850, 95% CI (0.90, 1.00), good consistency. Patch type heart all platform is suitable for self-study and clinical care study, and professional skill assessment,etc. Conclusion: The effectiveness of patch type heart all on testing the average heart rate, supraventricular premature beat is the same as Holter. it is also suitable for to carry out clinical ECG teaching at the same time.

贴片式动态心电记录仪在临床教学中可行性研究