动态心电图监测房性心律失常的临床意义

TractionThe clinic meaning of Holter detect the articl arrhythmia

目的为探讨房性早博与临床疾病的关系。方法采用24小时动态心电图监测记录结合临床分析诊断。结果①房性早搏<100次/24h以正常对照组为著(P<0.05)。②房性早搏300—700次/24h以心脏病组为著(p<0.05)。③房性早搏>700次/24h均见于心脏病(P<0.05)。④房性早搏>300次/24h房性心动过速发生率高(P<0.05)。⑤房性早搏>300次/24h发生房性心动过速者心脏病占100%(P<0.05)。⑥房性心动过速在器质性心脏病中冠心病占首位(62.5%),老年人占50%。结论房性早搏<100次/24h以正常人多见,房性早搏>300次/24h以器质量性心脏病多见,且房速发生率高,房性心动过速以冠心病居首位,老年人居多。

Objective To explore the velations between pyemature atrial contraction and clinic. Methods Diagnosis concluded by combination of 24-hour dynamic ECG record and clinical analysis. Results ①Premature atrial contraction is less than 100 times one day is main of group. ② Premature atrial contraction （300-700 times one day）is main of heart disease group. ③The number of Premature atrial contraction is more than 700 times one day is found in heart disease. ④Artial taehgeardia oceured easily when premature atrial contraction is mare than 300 times one day. ⑤Heart disease patient is must happened artral taehyeardia when premature atrial contraction is more than 300 times one day. ⑥Coronary disease occupy the Fast place in the organic heart disease when artial taehyeardia happened （62.5%）,old people was 50%. Conclusions Premature atrial contraction is less than 100 tmes one day occurs most frequently in normal person. Premature atrial contraction is more than 300 times one day occurs most frequently in the organic heart disease, what＇s mare artial taehyeardia occurred easily.coronary disease occupy the last place.when artial taehyeardia happened,andold people occurs most frequently.