摘要
目的 :探讨冠心病心力衰竭对各种室性心律失常的影响。方法 :选择 381例冠心病住院患者 ,根据心功能分级标准 ( NYHA)分为 4组 ,检测 2 4 h动态心电图 ( Holter) ,分析室性心律失常类型及发生率 ,进行统计分析。结果 :各级心功能组其室性心律失常发生率经 χ2检验示 ,室性心律失常的发生率除联律和持续性或非持续性室性心动过速外各组间差异无显著性 ( P>0 .0 5 )。结论 :非心肌梗死冠心病患者室性心律失常发作频率与心力衰竭的程度无关 。
Objective:To study if the incidence of ventricular arrhythmia will increase in non myocardial infarction patients with severe heart failure.Methods:381 patients with coronary heart disease who were not taking anti arrhythmia drugs and could be excluded from myocardial infarction and electrolyte inbalance entered the test.The patients were divided into 4 groups according to the cardiac function classification of New York Heart Disease Association and received 24 hours dynamic electrocardiogram check up(Holter).The ventricular arrhythmia occurrence and the type of arrhythmia were observed and analysed.Results:Two types of ventricular arrhythmia,ventricular bigeminy or ventricular trigeminy and sustained or unsustained ventricular tachycardia,were in high ratios in some groups,and there was no difference in the occurrence ratios of the other types of ventricular arrhythmia.Conclusion:The incidence of ventricular arrhythmia had no relation with the severity of heart failure,but ventricular bigeminy or ventricular trigeminy and sustained or unsustained ventricular tachycardia increased in patients with severe heart failure.
出处
《滨州医学院学报》
2002年第4期250-251,共2页
Journal of Binzhou Medical University
关键词
非心肌梗死
冠心病
心力衰竭
室性心律失常
相关性
non myocardial infarction
coronary heart disease
heart failure
ventricular arrhythmia
