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1、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<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(p<0.05).③房性早搏>700
2、次/24h均见于心脏病(P<0.05).(房性早搏>300次/24h房性心动过速发生率高(P<O.05).⑤房性早搏>300次/24h发生房性心动过速者心脏病占lO0%(P<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<l00次/24h以正常人多见,房性早搏>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:ATr
3、actionThedinkmesnin~ofHolterdetecttheartidarrhythmlaMA~-qing,WANGYong-fang,LIFei(DepartmentofCardiology,theAffiliatedHospitalofYah'anUniversity,Yah'an,716000,China)AbstactObjectiveToexplorethevdatlonsbetweenpyematureatrialcontractionandclinic.Me~odsDiagno-sisconclud
4、edbycombinationof24-hourdynamicECGrecordandclinicalanalysis.Results①Prematureatrialcontractionislessthan100timesonedayismainofgroup.②Prematureatrialcontraction(300-700timesoneday)ismainofheartdiseasegroup.numberofPrematureatrialcontractionismorethan700timesonedayisf
5、oundinheartdisease.(Artialtachg~axliaoceuredeasilywhenprematureatrialcontractionismorethan300timesoneday.⑤Heartdiseasepatientismusthappenedartraltachyeardiawhenprematureatrialcontractionismorethan300timesoneday.)coroIlarydiseaseocoupythefirstplaceilltheor驴mcheartdis
6、easewhenartialtachycantiahappened(62.5%),oldpeoplew∞50%.ConclusionsPrematureatrialcontractionislessthan100tinesonedayoccu/~mostfi~quently.mnormalpelion.Prematureatrialcontractionismorethan300timesonedayOC-curBmostfrequentlyintheorganicheartdisease.what'smoreartialta
7、ehyeardiaoccur~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
8、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果.将患者分为心脏病和正常对照组.心脏病组67例,其中冠心
