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Department introduction

Copyright: Beijing Hospital of Integrated Traditional Chinese and Western Medicine


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Address: No. 3,East Yongding Road, Haidian District, Beijing (No. 15 Yongding Road, Haidian District)

Mail box: zxyjh@zxyjh.com.cn

Hospital Tel: 010-88223585

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Department introduction

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The electrocardiogram room is one of the important clinical diagnostic departments in our hospital. At present, we use the advanced instruments such as Marquette, Hewlett-Packard, and Meigao to conduct inspections in outpatient and ward patients. All kinds of inspections are available immediately (Monday to Sunday). The waiting time for the reservation is short, and the report is issued in time. The maximum time is no more than 24 hours.


ECG application


Electrocardiography is one of the most important methods for clinical diagnosis of diseases, especially cardiovascular diseases. The ECG staff closely combined with the clinical situation and compared the dynamic changes before and after, and carefully analyzed to obtain a correct diagnosis in line with clinical practice. The main application scope and value of ECG are as follows:


1. Analyze and identify various arrhythmias, including cardiac arrest; ventricular flutter, ventricular fibrillation; atrial flutter, atrial fibrillation; ventricular premature beats, second and third syndromes, multi-source ventricular premature beats, ventricular tachycardia Atrial premature beats, atrial tachycardia; supraventricular tachycardia; sinus-atrial and atrial-ventricular conduction disorders; bundle branch block and pre-excitation syndrome.


2, the diagnosis of myocardial infarction (lesion location, extent, evolution and staging), coronary insufficiency, myocardial damage, angina, an important basis.


3. Auxiliary diagnosis of atrial and ventricular hypertrophy.


4. Diagnosis of myocardial inflammation and myocardial damage.


5, cardiac monitoring to observe the heart condition.


6, auxiliary diagnosis of electrolyte disorders, such as hypokalemia, hyperkalemia, etc., to help use some important drugs, to master the dose of drugs.


7. Monitor drugs acting on the heart, such as digitalis, heart rhythm, and quinidine.


8, other diseases.


9, physical examination, health care and so on.


Dynamic electrocardiogram


The dynamic electrocardiograph is a small-sized ECG recorder that can be used to record the ECG information of the subject during the daily activities for more than 24 hours, and then play back, analyze and diagnose through the host. Since the dynamic electrocardiographic examination takes longer than the conventional electrocardiographic examination, the amount of information collected is larger, and thus the detection rate of transient electrocardiographic abnormalities is high. It has become a very important clinical ECG monitoring technology, with unique and special effects, and there is no other way to replace it.


The main indications include:


1, arrhythmia: the detection and diagnosis of a variety of arrhythmia are important, especially for clinical suspected heart disease, combined with arrhythmia is more diagnostic. Severe arrhythmias that can be life-threatening, such as ventricular tachycardia, cardiac arrest, and severe atrioventricular block, can be detected.


2, suspected transient symptoms related to arrhythmia: such as black Mongolian, syncope, chest tightness, chest pain and other differential diagnosis.


3. Evaluation of antiarrhythmia treatment: Qualitative and quantitative diagnosis of arrhythmia under the same conditions before and after treatment to evaluate drug efficacy and toxicity.


4, the installation and detection of cardiac pacemaker: provide the ECG basis for the need to install a pacemaker, and help to choose the type of pacemaker; regular follow-up and confrontation of patients with a pacemaker installed The function of the beater is tested to guide the proper application of the pacemaker.


General indications include:


1. Monitoring of myocardial ischemia: typical and atypical angina, such as exertional angina pectoris, spontaneous angina pectoris, variant angina pectoris, asymptomatic myocardial ischemia, etc., and understand the timing of its occurrence and its relationship with daily activities.


2, evaluation of treatment measures for ischemic heart disease: such as drug treatment, coronary artery bypass surgery, percutaneous transluminal coronary angioplasty.


3, acute myocardial infarction rehabilitation period guidance: can be used in the recovery period after acute myocardial infarction, to observe whether there is arrhythmia and ischemic ST-T changes.


Other non-invasive ECG information monitoring, including heart rate variability analysis, Q-T dispersion analysis and sleep apnea syndrome.


Ambulatory blood pressure monitoring


1. Dynamic blood pressure monitoring can record the blood pressure changes of the subjects during daily activities for a long time, which is of great significance for patients with diagnosed or undiagnosed hypertension.


2, for some patients usually only occasionally measure blood pressure and generally in the normal range, they think they have no hypertension. Other patients who take antihypertensive drugs feel that everything is fine. I don't know how to reduce blood pressure, especially for nighttime blood pressure and blood pressure fluctuations. Therefore, dynamic blood pressure monitoring is needed.


3. The clinician can adjust the dose and type of the drug according to the results of the dynamic blood pressure monitoring. The time of taking the medicine can also be adjusted to achieve the purpose of individualized treatment. The doctor can also guide the patient's daily life according to the results of the dynamic blood pressure test, and prevent more serious clinical consequences due to unsatisfactory blood pressure control.


4, the general dynamic blood pressure monitoring is 24-48 hours, the patient can live normally, rest and sleep are not affected, simple and convenient.