直流电复律对合并高血压持续性心房颤动患者的血压影响被引量：2

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摘要目的探讨合并高血压持续性心房颤动(PeAF)直流电复律(DCC)后对血压的影响。方法入选31例合并高血压PeAF患者,根据是否接受DCC转复窦性心律,分为DCC组(A组,=13)和对照组(B组,=18)。记录DCC前既往最高收缩压(pre-SBPmax)、最高舒张压(pre-SBPmax)及DCC前及1d后24h动态血压获取的房颤时平均收缩压(MSBP)与平均舒张压(MDBP)。结果 DCC前:两组临床基线水平、服用药物、pre-SBPmax、pre-DBPmax、MDBP差异均无统计学意义(均>0.05),A组MSBP高于B组(=0.001)。DCC后:A组MSBP高于B组(=0.008)、MDBP低于B组(<0.01)。DCC前后:1、B组MSBP、B组MDBP差异无统计学意义(>0.05),A组DCC后MDBP较DCC前低(<0.01)。结论合并高血压PeAF患者经DCC后可使MDBP降低,但MSBP变化不明显。

作者沈耿生沈才杰孙立勤陈晓敏符霞陈杰王海玲顾烽储慧民

机构地区湖州市练市医院宁波市第七医院宁波市第一医院

出处《现代实用医学》 2013年第9期1010-1012,共3页 Modern Practical Medicine

关键词直流电复律高血压心房颤动

分类号 R541.75 [医药卫生—心血管疾病] R544.1 [医药卫生—内科学]

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