364例原发性高血压左室肥厚的心律失常分析

Analysis of the Arrhythmia of 364 Cases with Hypertension Left Ventricular Hypertrophy

目的:探讨原发性高血压左室肥厚与心律失常的关系。方法:收集364例原发性高血压患者的资料,对其超声心动图左室重量指标的测定,与其静息同步12导联心电图、动态心电图心律失常发生情况进行比较,寻找有无相关性。结果:左心室肥厚组平均左室重量指标水平为(152.6±15.8)g/m2,和左心室正常者相比差异有显著性(P<0.01)。左心室肥厚组室性心律失常及复杂性室性心律失常的检出率为87.18%和44.87%,明显高于左心室正常组(29.80%和8.65%),差异有显著性(P<0.01)。结论:原发性高血压左心室肥厚相关性心律失常与左室肥厚的程度有明显的关系。

Objective To essential hypertension and left ventricular hypertrophy in the relationship between the arrhythmia. Methods Collection of 364 cases of hypertension in patients with the information, its echocardiography left ventricular mass index to the determination of sync with the rest 12-lead ECG, Hoher to compare the occurrence of arrhythmia, whether to find relevant. Results The average left ventricular hypertrophy left ventricular mass index levels （ 152.6 ± 15.8） g/m^2 , and compared with normal left ventricular there were significant differences （ P 〈 0.01 ）. Left ventricular hypertrophy of ventricular arrhythmias and complexity of ventricular arrhythmias detection rate of 87. 18 percent and 44.87 percent, significantly higher than normal left ventricular （29.80% and 8.65% ）, there were significant differences （P 〈 0.01 ）. Conclusion Hypertension and left ventricular hypertrophy related arrhythmias and left ventricular hypertrophy significantly the extent of the relationship.