高血压病心律失常相关因素和临床特征的研究

Hypertension arrhythmia related factors and clinical features

目的：分析高血压病所致的心律失常的相关因素和临床基本特征。方法：对我院2010年1月~2010年6月间166例高血压病患者的病例资料进行回顾性研究,比较164例患者临床资料、超声心动图和24小时动态心电图等。结果：①房性心律失常与左心房的大小、二尖瓣返流、左心室大小以及左室质量指数相关,尤其与左房大小的相关性更明显,室性心律失常与左房、二尖瓣返流、主动脉瓣返流、左室质量指数相关性不显著,而与左室腔大小相关。高血压病心理失常与心脏结构的改变相关。②左室肥厚室性心律失常发生率为70%（50例）,房性心律失常发生率为87.1%（61例）。结论：有如下临床特征：①高血压病患者房性心律失常多于室性心律失常,且早期即出现,其发生率与左房大小有关。室性心律失常与心室肥厚及心肌缺血密切相关。左房增大的发生率显著高于左室肥厚的发生率。②高血压病老年患者复杂心律失常的发生率显著高于非老年高血压病患者。

Objective：Analysis of hypertension arrhythmia associated factors and clinical features.Methods：To the 164 cases of hypertension of echocardiography,24-hour Holter monitoring and clinical data for comparison.Result：（1）Essential hypertension,arrhythmia and heart structure change obviously related,atrial arrhythmias occurred and the size of the left atrium,mitral regurgitation,left,and left ventricular mass index related,in particular,and the relevance of left atrial size more obvious,ventricular arrhythmia and left atrium,mitral regurgitation,aortic regurgitation,left ventricular mass index not significant,and left ventricular cavity size.（2）Left ventricular hypertrophy in patients with ventricular arrhythmias incidence rate of 70%（50 cases）,atrial arrhythmiasoccurred 87.1%（61）.Conclusion：Clinical features are as follows：（1）Hypertension atrial arrhythmias than ventricular arrhythmia,and early appears,its incidence and relative to the size of the left atrium.Ventricular arrhythmia and ventricular hypertrophy and myocardial ischemia.Left atrial enlargement rate significantly higher than the rate of left ventricular hypertrophy.（2）Hypertensive elderly patients with complex arrhythmias incidence significantly higher than the non-elderly hypertensive patients.