论文部分内容阅读
1981年3～11月,我们对60例发作性晕厥、眩晕及心悸患者进行了动态心电图(简称DCG)监测,发现他们可能与某种心律失常有关。DCG监测检出心律失常占73.3％,而常规心电图(ECG)检查为51.6％,晕厥组以显著窦性过缓为主;眩晕组缓慢性及快速性心律失常的发生率差不多一样;单纯心悸组则以发作性房、室早搏为主,次为短阵的房性及室上性心动过速(各5例)。各组症状与血液动力学的关系研究表明,晕厥组的心排血量及心脏指数明显降低,眩晕组次之,心悸组则仍在正常范围内。
From March to November 1981, we monitored the dynamic electrocardiogram (DCG) in 60 patients with paroxysmal syncope, dizziness and palpitation and found that they may be related to some kind of arrhythmia. DCG detection of arrhythmia accounted for 73.3%, while conventional electrocardiogram (ECG) was 51.6%, syncope group was mainly sinus bradycardia; dizziness group of slow and tachyarrhythmia incidence rate is almost the same; simple heart palpitations group The main attack room, premature ventricular contractions, followed by a short array of atrial and supraventricular tachycardia (5 cases each). The relationship between each group of symptoms and hemodynamics studies have shown that cardiac output and cardiac index decreased significantly in the syncope group, followed by the dizziness group, palpitations group is still within the normal range.