缓慢型心房颤动伴长R-R间期的心电图分析.pdf

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1、齐齐哈尔医学院学报2014年第35卷第17期JoumalofOiqiharUniversityofMedicine，2014，Vo1．35，No．17·2537·．经验交流．缓慢型心房颤动伴长R—R间期的心电图分析谈家红周兴华【摘要】目的探讨缓慢型心房颤动(Af)伴发长R—R间期在静态心电图(ECG)中发生率及意义。方法回顾性分析66例静态ECG表现为缓慢型Af的患者，根据有无伴随头晕、黑嚎、晕厥等相关症状，分为有相关症状组A组37例，无相关症状组B组29例；根据年龄分为高龄组(≥80岁)42例，非高龄

2、组(<80岁)24例。观察缓慢型Af伴发长R．R间期发生率并进行比较分析。结果A组发生长R．R间期30例，占81．08％，B组发生6例，占20．69％。A组发生率高于B组(=10．87，P<0．05)；高龄组发生29例，占69．05％，非高龄组发生7例，占29．17％，高龄组发生率高于非高龄组()(=11．63，P<0．05)。结论静态ECG检查可以及时发现缓慢型Af伴发长R．R间期，对伴发头晕、黑嚎、晕厥等相关症状患者和高龄患者应高度重视，适当延长ECG描记时间，详细描述长R_R的长度，慎重Af合并二

3、度房室传导阻滞诊断，为临床医生尽早干预和处理提供依据，从而改善患者的症状和预后。【关键词】缓慢型心房颤动；长R—R间期；房室传导阻滞AnalysisofelectrocardiogramsofatrialfibrillationpatientswithslowventricularrateandlongR-RintervalⅣJia-，eta1．ECGDepartment，ZhenjiangHospitalofIntegratedWesternandTraditionalChineseMedicineZ

4、henjiang，Jiangsu212002，China．【Abstract】ObjectiveToinvestigatetheclinicalsignificanceandtheregulationofoccurrenceoflongR—Rintervalinstaticelectrocardiogram(ECG)amongatrialfibrillation(AF)patientswithslowventricularrate(<60／min)．Methods66staticECGcasesofat

5、rialfibrillation(AF)patientswithslowventricularratewereretrospectivelyanalyzedinthestudy．Thecasesweredividedintotwogroupsbytwodifferentmeans．GroupA：37caseswithdizziness，syncopeandotherrelatedsymptoms；GroupB：29caseswithoutabove—mentionedsymptoms．Bytheageo

6、fpatients，thesecasesweredividedintoAgedGroup(≥80yearsold，42cases)andYongerGroup(<80yearsold，24cases)．ThepatternsofEscapebeatsoccurrences(anditsrate)inthesecaseswereobserved，andresultswerecomparedamonggroups．ResultsGroupAhad30caseswithlongR—Rinterval，acco

7、untingfor81．08％，whichishigherthanGroupB(6cases，20．69％)，thedifferenceisofstatisticalsignificance(x=10．87，P<0．05)．Accordingly，theAgedGrouphad29caseswithlongR-Rinterva1．accountingfor69．05％．whichishigherthantherateoflongR—RintervaloccurenceinYoungerGroup(7ca

8、ses，29．17％)，thedifferenceisofstatisticalsignificance(x=l1．63，P<0．05)．ConclusionsCasesofSlowAF(ventricularrate<60／min)withlongR—RintervalcanbediscoveredintimebystaticECGexamination，escapebeatsanditsratecanalsobeobserved．Spe