高血压病室性心律失常与左室肥厚及血脂的关系

Relationship between ventricular arrhythmia and blood lipid in hypertensive patients with left ventricular hypertrophy

研究９２例高血压病（ＥＨ）室性心律失常（ＶＡ）与左室肥厚（ＬＶＨ）及血脂的变化。结果显示：ＥＨ伴ＬＶＨ者易发生ＶＡ和室性心动过速（ＶＴ），同时合并高脂血症（ＨＬ）者，其ＶＡ发生率及复杂性、ＶＴ的发生率均明显增高，且平均心率（ｍＨＲ）明显增快。ＶＡ与左室内径（ＬＶｄ）、左房内径（ＬＡｄ）和血脂水平明显相关。

The possible relationship among ventricular arrhythmia(VA), blood lipid(BL) and left ventricular hypertrophy(LVH) were investigated in 92 patients with essential hypertension(EH). The results showed that the incidence of VA and complex VA and ventricular tachycardia(VT) were significantly higher in EH with LVH than those in EH with non LVH. The incidence of VA and complex VA and VT were highest in hypertensive patients with LVH accompanied with hyperlipemia(HL), and VA seemed closely related to left heart structure and BL. The results suggest that LVH and HL are the two additive risk factors of occurrence of VA in patients with EH.