原发性高血压左室肥厚的心律失常

Arrhythmia in the Patients with Primary Hypertension Combined with Left Ventricular Hypertrophy

目的观察原发性高血压左心室肥厚患者的心律失常情况。方法对2000年1月-2009年10月收治的251例原发性高血压患者进行超声心动图及Holter检查,比较有左心室肥厚(left ventricular hypertrophy,LVH)及无LVH两组各类心律失常的发生情况。结果 LVH组各种心律失常的发生率与非LVH组比较,差异有统计学意义(P<0.01)。LVH组室性心律失常及复杂性室性心律失常的检出率为83.33%和51.85%,明显高于非LVH组(28.67%和9.09%),差异有统计学意义(P<0.01)。结论高血压并发LVH与心律失常的发生有一定密切关系。

Objective To analyze the condition of arrhythmia in the patients with primary hypertension combined with left ventricular hypertrophy.Methods A total of 251patients with primary hypertension from January 2000to October 2009were selected.All the patients had undergone the examinations of ultrasonic cardiogram,12-lead electrocardiogram and Holter test to compare the incidence of arrhythmia between LVH and non-LVH group.Results There were significant differences in the incidences of arrhythmia between the two groups（P〈0.01）.Furthermore,the incidence of ventricular arrhythmias and complexity of ventricular arrhythmias of the patients in LVH group was 83.33%and 51.85%respectively,significantly higher than that in non-LVH group（28.67%and 9.09%;P〈 0.01）.Conclusion Primary hypertension combined with LVH is relevant to arrhythmias.