about enalapril and metoprolol on the impact of chronic congestive heart failure patient outcomes and qt dispersion（卡托普利和美托洛尔对慢性充血性心力衰竭患者的影响结果和qt离散）.docVIP

About enalapril and metoprolol on the impact of chronic congestive heart failure patient outcomes and QT dispersion [Keywords:] in accordance with enalapril metoprolol in heart failure QT dispersion Chronic congestive heart failure is the final destination of the majority of cardiovascular disease, is the main cause of death .1985 years, Campbell and Day, first proposed the concept of QT dispersion (QTd) reflects ventricular repolarization time and space that QTd heterogeneity followed by a large number of experimental and clinical studies have reported the the QTd physiological significance and clinical value, as the very heterogeneity of a non-invasive indicators reflect the ventricular complex, widely used in the heart of a variety of pathological conditions and treatment evaluation. a large number of The study results showed that long QT syndrome, coronary heart disease, heart failure, cardiac hypertrophy, valvular disease and other pathological conditions can QTd increase, many scholars from the QTd reflects ventricular repolarization heterogeneity departure, as forecast the occurrence of heart disease indicators of malignant ventricular arrhythmias and poor prognosis in clinical disease populations to detect contrast, indeed suggesting a high population of malignant arrhythmias and sudden death tendency QTd was significantly greater than the normal group [1] in patients with chronic congestive heart failure ventricular hypertrophy or expansion, ventricular remodeling, resulting in ECG repolarization changes QTd increase, may promote the occurrence of fatal arrhythmias. this study was to evaluate the enalapril and metoprolol in patients with chronic congestive heart failure QTd impact, in order to determine its clinical efficacy. 1 Materials and Methods 1.1 The object of study 1.1.1 group of heart failure: standard heart function I ~ III level chronic congestive heart failure patients with 70 cases, 42 males and 28 females, age (53.4 + -5.7) year