体检心电图左室高电压影响因素的分析

Infuential Factors Analysis of Left Ventricular Hypervolage of Electrocardiogram During Physical Examination

目的通过回顾性分析体检人员的常规心电图与临床资料,探讨影响心电图左胸导联QRS电压增高的相关因素。方法将18 646例体检人员十二导心电图按RV5>2.5 mv和RV5≤2.5 mv分开;其中,RV5>2.5 mv的体检人员年龄>40岁为一组,年龄≤40岁一组,观察心电图RV5振幅增高与高血压、高血脂、高血糖、年龄、体型肥胖或消瘦的关系。结果 18 646例受检者中,RV5>2.5 mv的有995例,占5%;高血压、高血脂、高血糖、年龄、消瘦对心电图RV5振幅增高有关系。结论左室高电压可能是某些疾病早期的表现或者是危险因素之一,应该做进一步的检查,平日里人们可通过改变生活习惯、合理饮食、坚持适量体育锻炼、控制体重、控制合理的血压等措施加以预防和控制,以防心脏的器质性改变。

Objective To discuss the factors affecting left ventricular hypervolage in Electrocardiogram according to the retrospective analysis of people’s Electrocardiogram and clinical data during Physical examinations. Methods Among 18646 cases, twelve lead Electrocardiogram of physical examinations were divided into 2 groups：the RV5〉2.5 mv group ,and the RV5≤2.5 mv group, in addition the RV5〉2.5 mv group was divided into 2 groups as well：the age〉40 group, and the age≤40 group to observe the relationship between left ventricular hypervolage and hypertention, htperglyemia, hyperlipidemia, overweight, emaciation, age. Results⑴There were 995 cases of left ventricular hypervolage ,which accounted for 5% of the 18646 cases. ⑵All of the hypertention, htperglyemia, hyperlipidemia, emaciation could affect left ventricular hypervolage. Conclusion Left ventricular hypervolage might be the early stage or one of the risk factors for some diseases, which needed further research, left ventricular hypervolage could be prevented and controlled by changing living habits , drinking and eating reasonably and exercise regularly.