原发性高血压患者心律失常与左室肥厚关系的研究

为探讨原发性高血压患者心律失常与左室肥厚 (LVH)的关系 ,用 2 4h动态心电图和超声心动图 ,分析 90例高血压病人心律失常与左室肥厚及心肌缺血的关系。结果 :90例高血压病人检出室性心律失常 4 7例 ,占 5 2 .2 % ;房性心律失常 6 1例 ,发生率 6 7.8% ,伴LVH、ST T改变者室性心律失常的发生率明显高于无LVH者 (P <0 .0 1 )和无ST T改变者 (P <0 .0 1 )。提示 :原发性高血压患者心律失常的发生与左室肥厚及心肌缺血有密切关系

Relations between Hypertensive Arrhythmia and Left Vetricular Hypertrophy

To study the relations between arrhythmia and left ventricle hypertrophy(LVH) in patients with essential hypertension, we examined 90 patients with essential hypertension by 24 h dynamic electro-cardiogram and echocardiogram, and analyzed the relations between arrhythmia and LVH and myocardium ischemia. Out of the 90 patients, 47(52.2%) were found suffering ventricular arrhythmia and 61(67.8%) were found suffering atrial arrhythmia. The incidence rate of atrial arrhythmia was higher than ventricular arrhythmia. The incidence rate of ventricular arrhythmia among patients with LVH was evidently higher than that among patients without LVH. The incidence rate of ventricular arrhythmia among patients suffering hypertention with the change of ST-T was evidently higher than that among patients suffering hypertention without the change of ST-T. The incidence rate of hypertensive arrhythmia is close related to LVH.