原发性高血压与心律失常相关性分析

Analysis of the association between essential hypertension and arrhythmia

目的探讨原发性高血压(EH)与心律失常相关性。方法对164例EH患者,进行心电图(ECG)、Horlter、超声心电图(UCG)检查,测定心律失常、左室肥厚、左房内径。结果心律失常占90.2%,其中房性心律失常占88.4%,室性心律失常占56.5%,复杂性房性心律失常占29.6%,复杂性室性心律失常占40.9%,AVB占1.8%,左室肥厚(Left Ventricnlorhypeitrophy LVH)组复杂性房性心律失常及复杂性室性心律失常明显高于无LVH组,差异有统计学意义(P<0.05)。左房扩大组(LAD)复杂性房性心律失常与左房正常组比较,差异有统计学意义(P<0.05)。结论 EH患者房性心律失常高于室性心律失常,高级别心律失常与LVH、LA扩大相关。

Objective To investigate the association between essential hypertension（EH）and arrhythmia.Methods EKG、UCG、Holter were performed in 164 patients with essential hypertension,and cardiac arrhythmias,left ventricular hypertrophy（LVH）,left atrial endodiameter were recorded.Results 148 cases were recorded with cardiac arrhythmias,of whith 88.4%were atrial arrhythmias and 56.5%were ventricular arrhythmias,29.6%were complex atrial arrhythmias,40.9%were complex ventricular arrhythmias and 1.8%were atrial ventricular block.Prevalence of complex atrial arrhythmias and complex ventricular arrhythmias in LVH group were significantly higher than those in non LVH group（P0.05）.Prevalence of complex atrial arrhythmias in large left atial diameter（LAD）group were significantly higher than that in normal left atial diameter group（P0.05）.Conclusion EH patients have more atrial arrhythmias than ventricular arrhythmias,and complex arrhythmias are associated with LVH and LAD.