直立倾斜试验阳性反应患者心律失常分析

Analysis of Arrhythmia in Patients with Positive Vertical Tilt Test

目的:分析直立倾斜试验阳性反应患者的心律失常情况。方法:选择2015年3月~2016年5月在某院进行治疗的118例因为各类原因出现晕厥问题的病患,所有病患均在入院前进行并且确诊,并且均采用直立倾斜试验进行检测,了解病患心率失常的问题发生情况,并且进行科学对比。结果:根据调查研究结果显示,所有直立倾斜试验阳性病患均产生了心律失常问题,其中包含96例病患出现快速心律失常,而且一般高发于少儿群体或者病患口服硝酸甘油倾斜试验的过程中;22例病患出现慢速心律失常,其中19例为窦性心跳过缓问题,此外还包含不同程度的并发症,比如交界性逸搏和窦性停搏等,其中男女发病人群人数不存在显著差异性,不存在统计学意义(P>0.05)。结论:就直立倾斜试验阳性反应患者心律失常来说,快速心律失常的人数占据大部分比例,而多发于儿童群体或者病患口服硝酸甘油倾斜试验的过程中,慢性心律失常则以窦性心跳过缓问题为主,因而加强预防和治疗是十分必要的。

Objective：To analyze the arrhythmia in patients with positive vertical tilt test. Methods： 118 cases of patients with syncope problems caused by various reasons treated in a hospital from March 2015 to May 2016 were selected, all the patients were confirmed before admission and tested by vertical tilt test, un derstood the occurrence of cardiac arrhythmia in patients and make scientific comparison. Results： According to the results of this study ,that all tilt test positive patients had arrhythmias, including 96 cases of patients with tachyarrhythmia, and generally high in children＇s patient groups or process of oral nitroglycerin tilt test; 22 cases of patients with slow arrhythmia,among them,19 cases were with sinus bradycardia, in addition also includes different degrees of complications, such as junctional escape and sinus arrest and so on. Among them, there was no significant difference in the number of men and women, and there was no statistical sig nificance （P〉0.05）. Conclusion： In the case of arrhythmia in patients with positive vertical tilt test, rapid arrhythmia accounts for a large proportion. As for children or patients in the process of oral nitroglycerine tilt test, chronic arrhythmiais mainly caused by sinus bradycardia. Thus strengthening the prevention and treat ment is very necessary.