风湿性心脏病心律失常(附216例分析)

ARRHYTHMIAS IN RHEUMATIC HEART DISEASE

本文分析216例风心中窦性、房性、房室交界性、室性心律失常和冲动传导失常的发生率,其中,房性心律失常发生率最高(49.54％)。统计学处理显示,三种风心(二尖瓣病变、主动脉瓣病变、二尖瓣合并主动脉瓣病变)中发生房性、交界性、室性心律失常和传导失常的差异分别是P<0.01P>0.05、P<0.01和P>0.05。风心中房颤发生率最高(43.52％),房颤与左房大小密切相关。本文论述了风心发生心律失常的机理。

Incidences of sinus, atrial, A—V junctional, ventricular and impulse conduction arrhythmias were studied in 216 cases of rheumatic heart disease. Among them, incidence of atrial arrhythmia was the highest (49.54%). Statistical disposal indicated that differences might be significant or not in atrial, A—V junctional, vetricular and impulse conduction arrhythmias according to three different conditions (mitral disease, aortic disease, mitral with aortic disease ), p<0.01, p<0.05, p<0.01 and p>0.05 respectively Incidence of atrial fibrillation was very frequent ( 43.52% ). in rheumatic heart disease. Atrial fibrillation was intimately related to the size of left atrium. The mechanism of cardiac arrhythmias in rheumatic heart disease was also discussed.