摘要
目的:探讨隐匿性高血压患者心电图P波的特点,为临床上高血压的诊断提供依据。方法:选择隐匿性高血压(研究组)和真性高血压(对照组)患者,各36例,作为研究对象。比较研究组和对照组心电图情况。结果:研究组T波改变率为19.40%(7/36例)、ST-T改变率为13.89%(5/36例)、束支阻滞率为5.56%(2/36例)、左心室肥厚率为22.22%(8/36例)、左室壁高电压率为22.22%(8/36例)均低于对照组36.11%(13/36例)、55.56%(20/36例)、25.00%(9/36例)、33.33%(12/36例)和38.89%(14/36例),差异具有统计学意义(P<0.01);研究组与对照组P波增宽率及P波双峰率比较,差异无统计学意义(P>0.05)。结论:P波增宽及双峰改变是隐匿性高血压患者敏感的诊断指标,该指标预示心脏早期损害的心电学改变。
Objective： To investigate the characteristics and value of P wave of electrocardiogram in patients with masked hypertension, and provide evidence for clinical diagnosis of hypertension. Methods： Thirty-six patients with masked hypertension （study group） and thirty-six patients with true hypertension （control group） who had been diagnosed were enrolled into the subject in our hospital. The ECG was compared between the two groups. Results： T wave change rate was 19.40% （7/36 cases）, ST -T change rate 13.89% （5/36 cases）, bundle branch block rate 5.56% （2/36 cases）, left ventricular hypertrophy rate 22.22% （8/36 cases） and left ventricular wall high voltage rate 22.22% （8/36 cases） in study group, which were lower than those in control group 36.11% （13/36）, 55.56% （20/36 cases）, 25.00% （9/36 cases）, 33.33% （12/36 cases） and 38.89% （14/36 cases）, with significant difference. There was no significant difference in P wave width increasing rate and bimodal rate between the two groups. Conclusion： P wave broadening and bimodal changes are the sensitive markers in the diagnosis of patients with masked hypertension, which may suggest electrical change in early heart damage.
作者
黄慕坚
梁华静
刘靖
钟淑贞
Mujian Huang Huajing Liang Jing Liu Shuzhen Zhong(Department of Electrocardiogram, Jiangmen Wuyi Traditional Chinese Medicine Hospital, Guangdong Provence, 529031, China)
出处
《现代电生理学杂志》
2017年第2期91-94,共4页
Journal of Modern Electrophysiology
关键词
隐匿性高血压
心电图
P波
masked hypertension
electrocardiogram
P wave
