原发性高血压和心律失常相关性分析.docVIP

原发性高血压和心律失常相关性分析 　　【摘要】 目的探讨原发性高血压(EH)与心律失常相关性。方法 对164例EH患者，进行心电图(ECG)、Horlter、超声心电图(UCG)检查，测定心律失常、左室肥厚、左房内径。结果 心律失常占90.2％，其中房性心律失常占88.4％，室性心律失常占56.5％，复杂性房性心律失常占29.6%，复杂性室性心律失常占40.9%,AVB占1.8%，左室肥厚(Left Ventricnlor hypeitrophy LVH)组复杂性房性心律失常及复杂性室性心律失常明显高于无LVH组，差异有统计学意义(P0.05)。左房扩大组(LAD)复杂性房性心律失常与左房正常组比较，差异有统计学意义(P0.05)。结论 EH患者房性心律失常高于室性心律失常，高级别心律失常与LVH、LA扩大相关。 　　【关键词】 原发性高血压；心律失常；左室肥厚；左房扩大 　　 　　Analysis of the association between essential hypertension and arrhythmia 　　ZHANG Yun,XU Wencan,XU Duanmin,et al.The First Affiliated Hospital of Shantou University Medical College,Shantou,Guangdong 515041，China 　　【Abstract】 Objective To investigate the association between essential hypertension(EH)and arrhythmia.Methods EKG、UCG、Holter were performed in 164 patients with essential hypertension,and cardiac arrhythmias,left ventricular hypertrophy(LVH),left atrial endodiameter were recorded.Results 148 cases were recordedwith cardiac arrhythmias,of whith 88.4%were atrial arrhythmias and 56.5%were ventricular arrhythmias,29.6%were complex atrial arrhythmias,40.9%were complex ventricular arrhythmias and 1.8%were atrial ventricular block.Prevalence of complex atrial arrhythmias and complex ventricular arrhythmias in LVH group were significantly higher than those in non LVH group(P0.05).Prevalence of complex atrial arrhythmias in large left atial diameter(LAD)group were significantly higher than that in normal left atial diameter group(P0.05).Conclusion EH patients have more atrial arrhythmias than ventricular arrhythmias,and complex arrhythmias are associated with LVH and LAD. 　　【Key words】 Essential hypertension; Arrhythmia; Left ventricular hypertrophy(LVH); Enlarged left atial diameter 　　 　　原发性高血压(EH)是最常见的心血管疾病之一，常发生各种心律失常，影响患者生活质量和生存率，分析原发性高血压与心律失常相关性，早期进行干预措施，有很大临床意义。现对我院164例原发性高血压患者分析如下。 　　 　　1 资料与方法 　　 　　1.1 一般资料 选择2005年1月至2009年1月我院心内科住院及门诊的原发性高血压患者164例，均符合1999年WHO/ISH诊断标准［1］。男105例，女59例，年龄41~85岁，平均(63.8±5.6)岁，经各项检查排除继发性高血压、心瓣膜病、心肌病等其他器质性心脏病，无电解质紊乱。 　　1.2 方法