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陈旧性心肌梗死患者心率震荡与恶性心律失常的关系
引用本文:林靖宇,刘军,吴学青,韦龙彪,李景霞. 陈旧性心肌梗死患者心率震荡与恶性心律失常的关系[J]. 中国临床医学, 2009, 16(2): 277-278
作者姓名:林靖宇  刘军  吴学青  韦龙彪  李景霞
作者单位:复旦大学附属中山医院心电图室,上海,200032
基金项目:复旦大学青年科学基金 
摘    要:目的:通过动态心电图分析陈旧性心肌梗死患者心率震荡参数与恶性心律失常的关系。方法:选取45例陈旧性心肌梗死患者及100例正常对照组进行动态心电图检测,分析其心率震荡参数及室性心律失常情况,并根据室性心律失常的发生与否将心肌梗死组分为A组(室性心动过速组)与B组(无室性心动过速组),比较其心率震荡参数的统计学差异。结果:心肌梗死组患者震荡初始(TO)为-0.46±1.37,震荡斜率(TS)为3.99±3.53;正常对照组TO为-1.93±1.86,TS为8.98±4.84;心肌梗死A组与B组的TO分别为0.32±2.01及-0.91±1.80,TS分别为2.75±3.33及5.32±3.89。心肌梗死组与对照组心肌梗死A组与B组的心率震荡参数均有显著差异。结论:陈旧性心肌梗死患者的心率震荡指数低于正常人,与室性心律失常的发生有关,作为恶性心律失常的预测因子,有一定的临床价值。

关 键 词:心肌梗死  窦性心率震荡  室性心律失常

The Relationship between Heart Rate Turbulence and Ventricular Arrthmias in Old Myocardial Infarction
LIN Jingyu,LIU Jun,WU Xueqing,WEI Longbiao,LI Jingxia. The Relationship between Heart Rate Turbulence and Ventricular Arrthmias in Old Myocardial Infarction[J]. Chinese Journal Of Clinical Medicine, 2009, 16(2): 277-278
Authors:LIN Jingyu  LIU Jun  WU Xueqing  WEI Longbiao  LI Jingxia
Affiliation:LIN Jingyu LIU Jun WU Xueqing WEI Longbiao LI Jingxia Department of Electrocardiology,Zhongshan Hospital,Fudan University,Shanghai 200032
Abstract:Objective:To investigate the parameter changes of heart rate turbulence onset (TO) and turbulenc eslope (TS) in patients with old myocardial infarction were enrolled,and the correlation of TO and TS with ventricular arrthmias was analyzed. Methods:Thirty-nine patients with OMI (OMI group)and 51 healthy controls (control group) were chosen. The 24 h ambulatory electrocardiograph data of subjects were collected and according to the results of ventricular arrthmias in patients with OMI. The OMI group was divid...
Keywords:Myocardial infarction  Heart rate turbulence  Ventricular arrthmias  
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