动态心电图监测房性心律失常的临床意义.docVIP

动态心电图监测房性心律失常的临床意义 海南医学)20o6年第17卷第9期 文章编号:1003--6350{2006)o9—56—2 动态心电图监测房性心律失常的临床意义 马立青,王咏芳,李飞 (1,延安大学附属医院心内科,陕西延安7l60o0; 2,陕西省甘泉县医院心电图室) 论着 摘要目的为探讨房性早博与临床疾病的关系.方法采用24小时动态心电图监测记录结合临床分析 诊断.结果①房性早搏lt;100次/24h以正常对照组为着(P(0.05).②房性早搏300--700次/24h以心脏病组为 着(plt;0.05).③房性早搏gt;700次/24h均见于心脏病(Plt;0.05).(房性早搏gt;300次/24h房性心动过速发生率高 (Plt;O.05).⑤房性早搏gt;300次/24h发生房性心动过速者心脏病占lO0%(Plt;O.05).(房性心动过速在器质性心 脏病中冠心病占首位(62.5%),老年人占50%.结论房性早搏lt;l00次/24h以正常人多见,房性早搏gt;300次/ 24h以器质量性心脏病多见,且房速发生率高,房性心动过速以冠心病居首位,老年人居多. 关键词房性心动过速;心电描记术;房性早搏 中图分类号:R541.7文献标识码:A TractionThedinkmesnin~ofHolterdetecttheartidarrhythmla MA~-qing,WANGYong-fang,LIFei (DepartmentofCardiology,theAffiliatedHospitalofYahanUniversity,Yahan,716000,China) AbstactObjectiveToexplorethevdatlonsbetweenpyematureatrialcontractionandclinic.Me~odsDiagno- sisconcludedbycombinationof24-hourdynamicECGrecordandclinicalanalysis.Results①Prematureatrial contractionislessthan100timesonedayismainofgroup.②Prematureatrialcontraction(300-700timesone day)ismainofheartdiseasegroup.numberofPrematureatrialcontractionismorethan700timesoneday isfoundinheartdisease.(Artialtachg~axliaoceuredeasilywhenprematureatrialcontractionismorethan300 timesoneday.⑤Heartdiseasepatientismusthappenedartraltachyeardiawhenprematureatrialcontractionis morethan300timesoneday.)coroIlarydiseaseocoupythefirstplaceilltheor驴mcheartdiseasewhenartial tachycantiahappened(62.5%),oldpeoplew∞50%.ConclusionsPrematureatrialcontractionislessthan100tines onedayoccu/~mostfi~quently.mnormalpelion.Prematureatrialcontractionismorethan300timesonedayOC- curBmostfrequentlyintheorganicheartdisease.whatsmoreartialtaehyeardiaoccur~easily.coronarydiseaseOC- eupythefirstplace.whenartialtaehyeardiahappened,andoldpeopleoccurBnlostflLaquendy. Keywordsartialtachycardia;HoherECGmonitofin~prematureatrialcon 房性早搏虽然可见于正常人,但更 常见于器质性心脏病人.为进一步探讨 房性早搏与临床疾病的关系,我们采用 24h动态心电图(DCG)结合临床资料,对 100例房性早搏患者进行分析,以供临床 参考. l资料与方法 1.1病例选择:选择100例静息心 电图未发现房性早搏而DCG监测到房性 早搏患者.其中男62例,女38例,年龄 14—79(平均57.o2)岁.根据临床,体检, 实验室及X胸片或心脏超声检查结