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观察了高血压病(EH)患者24h动态心电图(DCG)的心律失常变化,187例EH患者心律失常的发生率是随着年龄递增及高血压分期的增加而增加.年龄小于60岁的室性心律失常检出率为43.48%,而年龄大于70岁者检出率为75%,Ⅰ期室性心律失常检出率为34.8%,而Ⅱ期室性心律失常检出率为75%.合并左室肥厚(LVH)者,室性心律失常检出率较无LVH者为高.分别为64.7%对44.85%.伴有ST段改变者室性心律失常较无ST段改变者为高,分别为51.28%对50%.高血压是心血管病的独立危险因素,当其合并LVH及伴有ST段改变时,则心律失常发生率增高,尤为室性心律失常,这将导致心脏事件的发生.因此应积极防治EH,以减少心律失常及LVH等发生,防止或避免心脏事件的出现.
The change of arrhythmia of 24h dynamic electrocardiogram (DCG) in patients with essential hypertension (EH) was observed. The incidence of arrhythmia in 187 patients with EH increased with the increase of age and the increase of hypertension stage. The ventricular The detection rate of arrhythmia was 43.48%, while the detection rate was 75% in patients older than 70 years, the detection rate of Ⅰ-ventricular arrhythmia was 34.8%, and the detection rate of Ⅱ-ventricular arrhythmia was 75%. Left ventricular hypertrophy (LVH), ventricular arrhythmia detection rate was higher than those without LVH, respectively, 64.7% vs 44.85% .With ST segment changes in ventricular arrhythmias than those without ST segment changes were higher, respectively Was 51.28% vs 50% .Hypertension is an independent risk factor for cardiovascular disease, when combined with LVH and ST segment changes, the incidence of arrhythmia, especially ventricular arrhythmia, which will lead to the occurrence of cardiac events Therefore, EH should be actively controlled to reduce the incidence of arrhythmia and LVH and prevent or avoid the occurrence of cardiac events.