心电监测对高血压病心律失常与室壁肥厚关系的研究

To ASSESS THE RELATION BETWEEN ARRHYTHMIA AND LEFT VENTRICULAR HYPERTROPHY IN HYPER TENSIVE PATIENTS(An approach with Doppler echocardiography and 24 hours ECG monitor)

本文利用彩色超声显象仪对７９例高血压病患者测定心内结构，并作２４ｈ心电监测，同时与正常对照组相比较．对照组与高血压病组的心内结构正常组及左房扩大组均未见有意义的心律失常．室间隔肥厚及左室后壁肥厚伴左房扩大有ＬｏｗｎⅢＡ及ⅢＢ级心律失常，合并冠心病者此种心律失常更为多见，差异有显著性意义（Ｐ＜０．０１）．

In 79 cases with hypertsive patient,an approach with Echocardiohraphy Dopplermeasurred left cardiac structure and evaluated arrhythmia by 24 hours ECC monitor,a normalcontrol group was established.In hypertensive patients according to cardiac structure were dividedinto four groups. Among them,arrhythmia comparison(1)the normal control group,(2)the hyper-tensive patients,cardiac structtire normal(grotip 1),Ieft atrial enlargement(group 2),showedpremature ventricular beats and premature atrial beats 1～2/24h.It is no significant difference.There was no clinical means,left atrial left ventricular, septal hypertrophy(group 3),associatedwith left ventricular enlargement myocardial ischaemia(group 4);Both group 3 and group 4 re-vealed complex ventricular arrhythmia,such as Lown ⅢA and Lown ⅢB。The comparison betweengroup 3 and group 4 complex arrhythmia was more severe in group 4, P <0.0. We concludedthat complex arrhythmia occured higher in hypertensive patients of left ventricular enlargement,left ventricular posterior wall hypertrophy,septal hypertrophy,especially,associated myocardialischemia.