心脏性猝死高危因素探析

Analysis of High-Risk Factors for Sudden Cardiac Death

目的 :探讨与心脏性猝死相关的危险因素。方法 :对 46例心脏性猝死的临床资料进行回顾性分析研究。结果 :男性 2 6例 ,女性 2 0例 ,男性中吸烟者 2 1例 ;心脏扩大及心功能Ⅲ～Ⅳ 36例 ;有心电图记录者 37例均显示异常 ,其中室性心律失常 39例次 ,左室肥厚伴ST T改变 12例 ;12例低钾 ,2例高钾 ,2例正常范围 ;胆固醇升高 6例 ,高血压 11例 ,糖尿病 3例。猝死前有诱因者 17例。结论 :心脏扩大及心功能Ⅲ～Ⅳ级、左室肥厚伴ST T改变。

Objective: To investigate the correlative danger factors for sudden cardiac death(SCD). Methods: The clinical data of forty six cases with SCD were reviewed. Results: There were twenty six of males and twenty of females.Twenty one of the male patients did smoking.Thirty six cases had a cardiac enlarge with function Ⅲ or Ⅳ.Thirty seven cases showed an abnormal electrocardiograph, while ventricular arrhymia cordis presented in thirty nine cases/times. Twelve cases had left ventricular plump with change of ST T. Twelve cases showed hypokalemia while two cases did hyperkalemia. Other two cases had normal level of serum kalium. There were six cases with high cholesterol level, Eleven cases with hypertension, and three cases with diabetes. There were inducing factors before SCD in seventeen cases. Conclusion: Cardiac enlarge with function Ⅳ, left ventricular plump with change ST T, and ventricular arrhythmia cords were high danger factors for SCD.