慢性肺源性心脏病并发心律失常389例临床分析

目的探讨慢性肺源性心脏病(以下简称肺心病)心律失常的临床特征及治疗原则。方法本组患者共389例,全部于入院后48 h内通过24 h心电监护或多次常规12导联心电图检查,及时发现心律失常类型并加以分析。结果本组肺心病患者合并心律失常率达68.89%(268例),其心律失常类型以窦性心动过速、窦性心律不齐及房性期前收缩为主,严重心律失常如室上性心动过速、室性期前收缩、房室传导阻滞、心房颤动、左右束支传导阻滞等也常出现。心律失常的出现及严重程度与心力衰竭程度、肺部感染、低氧血症、水电解质紊乱等密切相关。结论肺心病心律失常发生率较高,且与肺心病患者病情严重程度密切相关,而心律失常治疗应通过积极的病因及并发症治疗,使用抗心律失常药物不是最佳办法。

A Clinical Study of Arrhythmias in Patients with Cor Pulmonale

Objective To study the clinical characteristics and therapeutic principles of arrhythmias complicated with cor pulmonale.MethodsPatients with cor pulmonale(n=389) were enrolled.The patients received 24-hour ambulatory or 12-lead electrocardiography(ECG) monitoring within 48 hours of enrollment.Arrhythmias were identified and analyzed.ResultsCor pulmonale patients were complicated with arrhythmias at a rate of 68.89%(n=268).The arrhythmias consisted mainly of sinal tachycardia,sinal arrhythmia,and atrial pre...