48例房性心动过速伴房室传导文氏现象心电图分析

Analysis of 48 patients ECG with atrial tachycardia accompanied by atrioventricular conduction wenckebach phenomenon

目的强调心电图自律性房性心动过速伴房室传导文氏现象在心电图报告中应注意问题。方法分析48例动态心电图出现自律性房性心动过速伴房室传导文氏现象,依心动过速频率分为A组(心房率<130次/min)、B组(心房率≥130次/min),分别与患者性别、年龄、发生时间、基础疾病进行比较。结果 A组房室传导文氏现象男性占80%,明显多于B组,且A组年长者及基础疾病患者占62%,明显多于B组患者。A、B两组心动过速与发生时间无关。结论自律性房性心动过速频率<130次/min的患者发生房室传导文氏现象需进行心电图分析、报告。

Objective To stress the problem about automaticity atrial tachycardia accompanied by atrioventricular conduction Wenckebach phenomenon in the ECG report.Methods To analysis 48 cases of dynamic ECG automaticity atrial tachycardia with atrioventricular conduction Wenckebach phenomenon,according to the atrial rate divided into two groups,group A（atrial rate130 beats/min） and group B（atrial rate≥ 130 beats/min）,respectively contrast gender,age,occurrence time and underlying diseases in two groups.Results The cases of male（80%） in A group was more than that in B group,and the same were in old patients and underlying diseases（62%） in A group than that in B group.The tachycardia were not relevant to occurrence time in two groups.Conclusion The frequency of automaticity atrial tachycardia less than 130 beats/min in patients with atrioventricular conduction Wenckebach phenomenon should analysis ECG and report.