妊娠合并心脏病心电图表现及心功能状况

ECG and cardiac function of pregnancy patients complicated with heart disease in 415 cases

目的：探讨妊娠合并不同类型心脏病的心电图表现及心功能状况。方法对2010年1月至2013年6月收治的415例妊娠合并心脏病患者的临床资料进行回顾性分析。结果妊娠合并心脏病以心律失常（206例，49.64%）和妊娠期高血压性心脏病（99例，23.86%）最为常见，先天性心脏病位居第三位（67例，16.14%）。妊娠合并心律失常以特发性室性心律失常、预激综合征为主，心功能多在NYHA I~Ⅱ级；妊娠合并非心律失常性心脏病异常心电图以窦性心动过速、心房纤颤、ST-T改变为主，主要病因为妊娠期高血压性心脏病、围生期心肌病、先天性心脏病及风湿性心脏病，心功能NYHAⅢ~Ⅳ级多见于该病。结论妊娠合并心脏病异常心电图以特发性室性心律失常、阵发性室上性心动过速及窦性心动过速、心房纤颤、ST-T改变为主。快速性心律失常易致患者心功能恶化。

Objective To investigate the electrocardiogram（ ECG）and cardiac function of pregnancy patients complicated with cardiac disease. Methods The clinical data of 415 cases of pregnant complicated with cardiac disease from January 2010 to June 2013 were retrospectively analyzed. Results The most common cardiac disease during pregnancy was arrhythmias with the NYHA grading I-Ⅱ（ 49. 64%）,which mainly occured in the idiopathic ventrieular arrhythmia,preexcitation syndrome,fol-lowed by preeclampsia-eclampsia with heart failure and congenital heart disease,with a frequency of 23. 86%and 16. 14%,re-spectively. The chief causes of NYHA gradingⅢ-IV during pregnancy were preeclampsia-eclampsia with heart failure,peripar-tum eardiomyopathy,congenital heart disease and rheumatic heart disease,ECGs of which mailly were sinus tachycardia,atrial fibrillatio and ST-T changes. Conclusion The main abnormal ECGs of pregnant patients complicated with heart disease were id-iopathic ventrieular arrhythmia,paroxysmal supraventricular tachycardia and sinus tachycardia,atrial fibrillatio and ST-Tchang-es. The pregnant women with heart disease complicated by rapid arrhythmia are liable to get deteriorated cardiac function.