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扩张型心肌病12导联动态心电图分析
引用本文:郭晓明,李天德,卢喜烈. 扩张型心肌病12导联动态心电图分析[J]. 临床心电学杂志, 2008, 17(2): 103-104
作者姓名:郭晓明  李天德  卢喜烈
作者单位:中国人民解放军总医院心内科,100853
摘    要:
目的观察扩张型心肌病的24h12导联动态心电图改变。方法60例经心脏超声检查诊断为扩张型心肌病的病例入选,并行24h12导联动态心电图监测。结果所有病例动态心电图均有异常改变,其中以室性早搏为最常见(97%),其次是ST-T改变(60%)和室性心动过速(50%)。心功能越差,复合心律失常越多见。结论扩张型心肌病的心律失常发生率高且多样,有复合心律失常的患者有必要进行心脏超声心动图检查。

关 键 词:扩张型心肌病  12导联动态心电图  心律失常
文章编号:1005-0272(2008)02-103-02
修稿时间:2007-10-11

12-lead ambulatory electrocardiogram changes in dilated cardiomyopathy
Guo Xiaoming,Li Tiande,Lu Xilie. 12-lead ambulatory electrocardiogram changes in dilated cardiomyopathy[J]. Journal of Clinical Electrocardiology, 2008, 17(2): 103-104
Authors:Guo Xiaoming  Li Tiande  Lu Xilie
Affiliation:(Department of CardiolOgy, Chinese PLA General Hospital, Beijing, lO0853,China)
Abstract:
Objective To observe the changes of 24 hours 12-lead ambulatory electrocardiogram(Holter) in dilated cardiomyopathy.Methods 60 cases who were confirmed with dilated cardiomyopathy by echocardiogram were included.Results All cases had abnormal 12-lead Holter.The most frequent abnorrnalting was ventricular premature beat(97%),the second was ST-T changes(60%) and the third was ventricular tachycardia(50%).Conclusions The incidence of arrbythmia is high and the arrbythmia is variable in dilated cardiomyopathy.It is necessary to accept echocardiogram examination in patients with abnormal 12-lead ambulatory electrocardiogram.
Keywords:dilated cardiomyopathy  12-lead ambulatory electrocardiogram  arrhythmia
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