动态心电图在心力衰竭患者预后中的预测价值被引量：1

The Value of Ambulatory Electrocardiography( AECG) in Predicting the Mortality of Heart Failure.

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摘要目的探讨动态心电图(AECG)在心力衰竭患者预后中的价值。方法本研究回顾性分析了心功能不全患者78例,每例患者都有完整的临床资料和AECG资料并进行了随访。采用多元Logistic回归模型建立回归方程进行危险因素的筛选。结果在132例患者中,死亡21人。在多元Logistic回归模型中,心力衰竭的危险因素包括年龄(RR:1.02;95%CI:1.01-1.03)、低射血分数(RR:0.963;95%CI:0.948-0.982)、心率过快(RR:1.05;95%CI:1.04-1.07)、心率范围较小(RR:0.973;95%CI:0.961-0.984)、阵发性房颤(RR:1.21;95%CI:1.15-1.28)和非持续性室速(RR:1.31;95%CI:1.22-1.37)。结论AECG所监测的心率范围、阵发性房颤以及非持续性室速是心力衰竭患者死亡的危险因素。因此,AECG在心力衰竭患者的预后中有参考价值。 Objective To explore the value of ambulatory electrocardiography（AECG） in predicting the mortality of heart failure. Methods We retrospectively analyzed 78 heart failure patients who had integrated clinical and AECG data and followed-up for 52 ± 10 months. SPSS software version 13.0 （SPSS, Inc） was used for statistical analysis. Multivariate regression model was used to determine the risk factors of mortality of heart failure. Results During the follow-up period, 21 patients died. In multivariate regression model, the risk factors of mortality included age （ RR： 1.02 ; 95 % CI ： 1.01 - 1.03 ）, low EF （ RR： 0. 963 ; 95 % CI： 0. 948 - 0. 982 ）, mean heart rate （ RR： 1.05 ; 95 % CI ： 1.04 - 1.07 ）, heart rate range （ RR： 0. 973 ;95% CI：0.961 - 0. 984）, paroxysmal atrium fibrillation （ RR： 1.21 ;95% CI： 1.15 - 1.28） and NS- VT （ RR：1. 31 ;95% CI：1. 22 - 1.37）. Conclusion Ambulatory electrocardiography provided useful prognostic information for patients with heart failure.

作者张秀荣张奎宪

机构地区山东省千佛山医院山东省曹县结核病防治研究所

出处《中国分子心脏病学杂志》 CAS 2005年第4期603-605,共3页 Molecular Cardiology of China

关键词心力衰竭患者动态心电图预测价值 LOGISTIC回归模型预后阵发性房颤持续性室速 AECG 危险因素心功能不全

分类号 R541.6 [医药卫生—心血管疾病] R540.41 [医药卫生—心血管疾病]

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1[1]Unt SA, Baker DW, Chin MH, et al. ACC/AHA guidelines for the evaluation and management of chronic heart failure in the adult: executive summary. J Am Coll Cardiol,2001,38 :2101.
2[2]Alan H. Kadish, MD, FACC. ACC/AHA Clinical Competence Statement on Electrocardiography and Ambulatory Electrocardiography. Circulation,2001,104:3169 -3178.
3[3]Doval HC, Nul DR, Grancelli HO, et al. Randomised trial of lowdose amiodarone in severe congestive heart failure. Lancet, 1994,344:493.
4[4]Doval HC, Nul DR, Grancelli HO, et al. Nonsustained ventricular tachycardia in severe heart failure. Independent marker of increased mortality due to sudden death. Circulation, 1996,94:3198.
5[5]Meinertz T, Hofmann T, Kasper W, et al. Significance of ventricular arrhythmias in idiopathic dilated cardiomyopathy. Am J Cardiol,1984,53:902.
6[6]Unverferth DV, Magorien RD, Moeschberger ML, et al. Factors influencing the one-year mortality of dilated cardiomyopathy. Am J Cardiol , 1984,54:147.
7[7]Baker RL, Koelling TM. Prognostic value of ambulatory electrocardiography monitoring in patients with dilated cardiomyopathy. J Electrocardiol , 2005 Jan;38:64-8.
8[8]Von Olshausen K, Schafer A, Mehmel HC, et al. Ventricular arrhythmias in idiopathic dilated cardiomyopathy. Br Heart J, 1984,51:195.
9[9]Costanzo-Nordin MR, O' Connell JB, Engelmeier RS, et al. Dilated cardiomyopathy: functional status, hemodynamics, arrhythmias, and prognosis. Catheter Cardiovasc Diagn , 1985,11:445.