合并房颤的阵发性室上性心动过速患者临床特征分析

Clinical Features of Patients with PSVT Combined with Fibrillation Atrial

目的研究合并房颤的阵发性室上性心动过速患者的临床特征。方法选取2010年1月—2016年1月收治的60例单纯阵发性室上性心动过速患者作为对照组,同期收治的60例合并房颤的阵发性室上性心动过速患者作为研究组。采用系统性回顾法分析两组患者的临床资料,观察比较两组患者心脏彩超、心电图和神经电生理检查结果;并使用单因素和多因素Logistic回归分析其与房颤的相关性。结果研究组的起病年龄、体重指数及男性比例均明显高于对照组,而女性比例低于对照组(P<0.05)。研究组心率及房室折返性心动过速发生率均明显高于对照组(P<0.01)。体重指数、心率和房室折返性心动过速为阵发性室上性心动过速患者合并房颤的独立危险因素(P<0.01,P<0.05)。结论可通过体重指数、心率和房室折返性心动过速评估阵发性室上性心动过速患者发生房颤的可能性。

Objective To investigate clinical features of patients with Paroxysmal supraventricular tachycardia （PSVT） combined with fibrillation atrial. Methods A total of 60 patients with PSVT only during January 2010 and Jan- uary 2016 were selected as control group, and 60 patients with PSVT combined with fibrillation atrial at the same period were chosen as observation group. Systematically retrospective analysis was used to analyze clinical data, and results of ultrasound cardiogram, electrocardiogram and nerve electrophysiologic study were compared in two groups. Univariate and multivariate Logistic regression was used to analyze its relationship with fibrillation atrial. Results In observation group, values of age of onset, body mass index and male proportion were significantly higher, while value of women proportion was significantly lower than those in control group （P 〈 0.05）. Incidence rates of heart rate and atrioventricular reentrant tachycardia in observation group were significantly higher than those in control group （P 〈 0. O1 ）. Body mass index, heart rate and atrioventricular reentrant tachycardia were independent risk factors in patients with PSVT combined with fi- brillation atrial （P 〈 0. 01, P 〈 0.05 ）. Conclusion The possibility of fibrillation atrial in PSVT patients can be evaluated by body mass index, heart rate and atrioventricular reentrant tachycardia.