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目的探讨妊娠合并不同类型心脏病的心电图表现及心功能状况。方法对2010年1月至2013年6月收治的415例妊娠合并心脏病患者的临床资料进行回顾性分析。结果妊娠合并心脏病以心律失常(206例,49.64%)和妊娠期高血压性心脏病(99例,23.86%)最为常见,先天性心脏病位居第三位(67例,16.14%)。妊娠合并心律失常以特发性室性心律失常、预激综合征为主,心功能多在NYHA I~Ⅱ级;妊娠合并非心律失常性心脏病异常心电图以窦性心动过速、心房纤颤、ST-T改变为主,主要病因为妊娠期高血压性心脏病、围生期心肌病、先天性心脏病及风湿性心脏病,心功能NYHAⅢ~Ⅳ级多见于该病。结论妊娠合并心脏病异常心电图以特发性室性心律失常、阵发性室上性心动过速及窦性心动过速、心房纤颤、ST-T改变为主。快速性心律失常易致患者心功能恶化。
Objective To investigate the ECG manifestations and cardiac function in pregnancy complicated with different types of heart disease. Methods Clinical data of 415 cases of pregnancy complicated with heart disease admitted from January 2010 to June 2013 were analyzed retrospectively. Results The most common cause of heart disease in pregnancy was arrhythmia (206 cases, 49.64%) and hypertensive heart disease in pregnancy (99 cases, 23.86%). Congenital heart disease ranked third (67 cases, 16.14%). Pregnancy with arrhythmia to idiopathic ventricular arrhythmia, predominant syndrome, heart function mostly in NYHA I ~ Ⅱ level; pregnancy with non-arrhythmic heart disease abnormal ECG with sinus tachycardia, atrial fibrillation , ST-T changes mainly due to hypertensive heart disease in pregnancy, perinatal cardiomyopathy, congenital heart disease and rheumatic heart disease, cardiac function NYHA Ⅲ ~ Ⅳ grade more common in the disease. Conclusions Pregnancy complicated with heart disease abnormal ECG mainly with idiopathic ventricular arrhythmia, paroxysmal supraventricular tachycardia and sinus tachycardia, atrial fibrillation, ST-T changes. Tachyarrhythmia caused by deterioration of cardiac function in patients.