908例室性心律失常动态心电图分析

Analysis of ventricular arrhythmias in dynamic electrocardiogram for 908 patients

目的:探讨室性心律失常与心脏病的病因及临床相关因素的相关性。方法:对动态心电图检测出的908例室性 心律失常病例进行病因及临床相关因素分类,并进行分析。结果:在有、无器质性心脏疾病的患者中均可发生室性 心律失常,其发生率由多至少依次为冠心病、高血压、瓣膜病、心肌病、先心病、病因不明、病窦+房室传导阻滞 (SSS+AVB)、糖尿病,而相关因素中,室性心律失常的发生率依次为左室肥大、心功能损害及心房颤动。结论:动 态心电图监测能提高室性心律失常的检出率,有利于心脏病及心律失常的诊治,改善其预后。

Objective： To discuss the relation between ventricular arrhythmias （VA） and heart disease. Methods： A total of 908 cases with VA in dynamic electrocardiogram （DCG） were analyzed by causes of disease and clinical factors. Results： According VA incidence the correlate disease was coronary artery disease （45.70M）, hypertension （30.62 % ）, valvular disease （13.44 % ）, myocardial disease, congenital heart disease, unknown causation, sick sinus syndrome ＋atrial ventricular block, diabetes mellitus （4.63%）; the correlative clinical factor was left ventricular hypertrophy （62.28%）, atrial fibrillation （24.78%）, heart failure （11.34%） respectively. Conelasion ： DCG can increases recognizing rate of VA, is helpful to treat heart disease and ventricular arrhythmia, thus improve the prognoses.