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P波时限指标异常对阵发性房颤的预测价值 被引量:6

Predictive value of abnormal P-wave duration indexes on paroxysmal atrial fibrillation
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摘要 目的探讨常规12导联同步心电图上P波时限指标异常预测阵发性房颤的价值。方法选取我院门诊及住院的阵发性房颤患者100例作为房颤组,并选取心电图正常的窦性心律体验者80例作为对照组。测量两组常规12导联同步心电图上P波离散度(P-wave dispersion,PWD)及P波最大时限(P max),并比较两者的差异。结果房颤组患者的PWD明显高于对照组[(51.08±12.03)ms vs.(33.19±8.98)ms],而P max也高于对照组[(121.57±15.33)vs.(101.94±9.89)],且两组差异均有统计学意义(P均<0.05)。结论通过测量常规12导联同步心电图上的P波指标可以早期筛查阵发性房颤患者,对该类人群进行早期诊断及治疗可降低脑卒中发病率。 Objective To explore the value of abnormality of P-wave duration indexes in routine 12-lead simultaneous ECG in predicting paroxysmal atrial fibrillation(PAF).Methods A total of 100 outpatients and inpatients with PAF in our hospital were selected as research objects(AF group)while 80 cases who had taken health examination with normal sinus rhythm were selected as control group.The P-wave dispersion(PWD)and the maximum duration of P-wave in routine 12-lead simultaneous ECG were measured and compared between the two groups.Results PWD of the patients in the AF group is significantly higher than that in the control group[(51.08±12.03)ms vs.(33.19±8.98)ms],and the maximum P-wave duration is also significantly higher than that in the control group[(121.57±15.33)vs.(101.94±9.89)],both with statistically significant differences(P<0.05).Conclusion By measuring P-wave indexes in routine 12-lead simultaneous ECG,patients with PAF can be screened early.Early diagnosis and treatment help to reduce the incidence of stroke among this kind of population.
作者 方旭 王君 杨吉猛 史培青 董海翠 张郁青 Fang Xu;Wang Jun;Yang Ji-meng;Shi Pei-qing;Dong Hai-cui;Zhang Yu-qing(Department of Cardiology,the Affiliated Jiangning Hospital of Nanjing Medical University,Nanjing Jiangsu 211100,China)
出处 《实用心电学杂志》 2020年第5期324-326,共3页 Journal of Practical Electrocardiology
关键词 P波时限 P波最大时限 P波离散度 阵发性心房颤动 P-wave duration P-wave maximum duration P-wave dispersion paroxysmal atrial fibrillation
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