冠心病病人室早发生与心率变化临床分析 |
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引用本文: | 艾尔肯·阿吉,马依彤,王朝霞,武云. 冠心病病人室早发生与心率变化临床分析[J]. 新疆医科大学学报, 2006, 29(12): 1159-1160 |
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作者姓名: | 艾尔肯·阿吉 马依彤 王朝霞 武云 |
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作者单位: | 新疆医科大学第一附属医院心内科,新疆,乌鲁木齐,830054 |
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摘 要: | 目的:分析冠心病和非冠心病病人室性早搏发生规律及机制。方法:选择109例住院患者,根据冠状动脉造影的结果分为冠心病组(53例)和非冠心病组(56例),依据动态心电图检查结果,做单位小时平均心率和室早发生百分率或干分率随24h时间变化曲线,观察两曲线变化情况,并对两组进行对比分析。结果:非冠心病组两曲线多呈一致,且室早发生率峰值在第一个平均心率峰值出现的同时或其后;冠心病组两曲线多呈相反或无关,室早发生率峰值在第一个平均心率峰值之前(约夜间1~7时)。结论:非冠心病病人室早发生可能与交感神经兴奋增强、迷走神经张力降低有关,冠心病病人室早发生恰与此相反。
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关 键 词: | 冠心病 室性早搏 平均心率 |
文章编号: | 1009-5551(2006)12-1159-02 |
收稿时间: | 2005-12-12 |
修稿时间: | 2005-12-12 |
The clinical analysis between the occurrence of ventricular premature beat and the heart rate change among coronary heart disease (CHD) |
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Abstract: | Objective: To analyse the occurrence rate of ventricular premature beat between coronary heart disease(CHD) and non-CHD.Methods: We have collected 109 patients and divided them into CHD group(53 patients) and non-CHD group(56 patients) by coronary angiography.We maked the curve of two groups by the results of 24 hours ECG and compared these curves. Results: Two curves of non-CHD group were at the same trend but those of CHD group are not at the same trend.Most ventricular premature beat of CHD group occured at 1 to 7 AM.Conclusions: The occurrence of ventricular premature beat of non-CHD is related with more tensive sympathetic nerve and less tensive vagus,but which of CHD is reverse. |
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Keywords: | coronary heart disease(CHD) ventricular premature beat average rate |
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