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目的分析高血压病导致心律失常的发生机制。方法对310例高血压病患者和300例健康者的超声心动图,24h动态心电图和临床资料进行比较。结果高血压病患者总的房性心律失常为80.6%,而健康者为35%,总的室性心律失常为59.3%,而健康者为21.4%。高血压病伴有左室肥厚者,房性早搏45.9%,而室早中,LOWN≥3级者,为33.8%,而不伴有左室肥厚者,房性早搏为49.4%,LOWN≥3级者,11.1%。结论高血压与心律失常的发生有明显相关性。
Objective To analyze the pathogenesis of hypertension caused by arrhythmia. Methods Echocardiography, 24h Holter and clinical data of 310 hypertensive patients and 300 healthy volunteers were compared. Results Total atrial arrhythmias in hypertensive patients were 80.6% compared to 35% in healthy subjects, 59.3% in total ventricular arrhythmias, and 21.4% in healthy subjects. Hypertension was associated with left ventricular hypertrophy, atrial premature beats 45.9%, and room early morning, LOWN ≥ 3 were 33.8%, but not associated with left ventricular hypertrophy, atrial premature beats 49.4%, LOWN ≥ 3 Grade, 11.1%. Conclusion There is a significant correlation between hypertension and arrhythmia.