论文部分内容阅读
目的了解病态窦房结综合征患者的动态心电图特点。方法对110例病态窦房结综合征患者进行动态心电图监测,对其结果进行分析。结果动态心电图检测结果,长R-R间期是最主要、最常见的表现。缓慢性心律失常:显著的窦性心动过缓85例(77.27%)、窦性停搏33例(30.00%)、窦房阻滞15例(13.64%)、房室阻滞17例(15.45%)。快速性心律失常:短阵性房性心动过速27例(24.55%)、阵发性心房颤动26例(23.64%)。A型和C型患者24h总心搏数<8万、平均心率<50次/min、最高心率<90次/min,绝大多数最低心率发生于23:00~5:00,以35~40次/min居多。B型患者因有反复的快速房性心律失常发生,其24h总心搏数、平均心率、最高心率并不低于一般监测人群。结论病态窦房结综合征可出现多种心律失常,晕厥与长R-R间期有明确的相关性,动态心电图能协助临床诊断和治疗的判断。
Objective To understand the characteristics of ambulatory electrocardiogram in patients with sick sinus syndrome. Methods 110 patients with sick sinus syndrome were monitored by dynamic electrocardiogram, and the results were analyzed. Results Holter test results, long R-R interval is the most important and most common manifestation. Bradyarrhythmia: significant sinus bradycardia in 85 cases (77.27%), sinus arrest in 33 cases (30.00%), sinoatrial block in 15 cases (13.64%), atrioventricular block in 17 cases (15.45% ). Tachyarrhythmia: Twenty-seven cases (24.55%) had paroxysmal atrial tachycardia and 26 cases (23.64%) had paroxysmal atrial fibrillation. Patients with type A and type C had a total heart rate of <80,000, an average heart rate <50 beats / min and a maximum heart rate <90 beats / min at 24 hours. Most of the lowest heart rates occurred between 23:00 and 5:00, Mostly / min. Type B patients with recurrent atrial tachyarrhythmia occur, the total heart rate 24h, average heart rate, maximum heart rate is not lower than the general monitoring of the population. Conclusion Sick sinus syndrome may have a variety of arrhythmia, syncope and long R-R interval has a clear correlation, Holter monitoring can help clinical diagnosis and treatment of judgments.