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目的探讨原发性高血压(EH)与心律失常相关性。方法对164例EH患者,进行心电图(ECG)、Horlter、超声心电图(UCG)检查,测定心律失常、左室肥厚、左房内径。结果心律失常占90.2%,其中房性心律失常占88.4%,室性心律失常占56.5%,复杂性房性心律失常占29.6%,复杂性室性心律失常占40.9%,AVB占1.8%,左室肥厚(Left Ventricnlorhypeitrophy LVH)组复杂性房性心律失常及复杂性室性心律失常明显高于无LVH组,差异有统计学意义(P<0.05)。左房扩大组(LAD)复杂性房性心律失常与左房正常组比较,差异有统计学意义(P<0.05)。结论 EH患者房性心律失常高于室性心律失常,高级别心律失常与LVH、LA扩大相关。
Objective To investigate the relationship between essential hypertension (EH) and arrhythmia. Methods Totally 164 EH patients were examined by electrocardiogram (ECG), Horlter and UCG, and their arrhythmia, left ventricular hypertrophy and left atrium diameter were measured. Results The arrhythmia accounted for 90.2%, including atrial arrhythmia 88.4%, ventricular arrhythmia 56.5%, complex atrial arrhythmias 29.6%, complex ventricular arrhythmias 40.9%, AVB 1.8%, left Complicated atrial arrhythmia and complicated ventricular arrhythmia in LVH group were significantly higher than those in LVH group (P <0.05). The left atrial enlargement group (LAD) complex atrial arrhythmia and left atrium normal group, the difference was statistically significant (P <0.05). Conclusions Atrial arrhythmias in patients with EH are higher than ventricular arrhythmias. High-grade arrhythmias are associated with enlarged LVH and LA.