动态心电图对心房颤动伴Ⅱ度房室传导阻滞的诊断价值
摘要
目的探讨动态心电图对心房颤动伴Ⅱ度房室传导阻滞的诊断价值。方法随机选取2017年2月至2018年2月该院收治的心房颤动伴Ⅱ度房室传导阻滞患者100例,并根据患者是否伴有头晕、晕厥、心悸或黑曚症状,将其分为无症状组(56例)和有症状组(44例)。比较2组24h发生2.0s以上长R-R间期、逸搏的频率,以及最快心室率和24h平均心室率。结果无症状组24h发生2.0s以上长R-R间期和逸搏的频率均明显低于有症状组,差异有统计学意义(P<0.05)。有症状组日间发生2.0s以上长R-R间期和逸搏的频率与夜间比较,差异无统计学意义(P>0.05)。无症状组夜间发生2.0s以上长R-R间期和逸搏的频率明显高于日间,差异有统计学意义(P<0.05)。有症状组在日间和夜间发生2.0s以上长R-R间期和逸搏的频率明显高于无症状组,差异有统计学意义(P<0.05)。无症状组最快心室率和24h平均心室率均较有症状组更快,差异有统计学意义(P<0.05)。结论借助动态心电图能帮助医生明确掌握患者2.0s以上长R-R间期、逸搏的发生频率,以及最快心室率和24h平均心室率,便于患者病情得到及时干预和处理,帮助改善患者症状。
引文
[1]李瑛,邹育清,曾瑞盈.老年房颤动态心电图与临床观察的分析比较[J].中国医药导刊,2014,16(1):42-43.
[2]潘运萍,张芳芳,刘儒,等.持续性心房颤动合并逸搏及逸搏节律患者的RR-Lorenz散点图特征[J].中华心血管病杂志,2014,42(6):481-483.
[3]RUSSO V,RAGO A,PANNONE B,et al.Atrial fibrillation and beta thalassemia major:the predictive role of the 12-lead electrocardiogram analysis[J].Indian Pacing Electrophysiol J,2014,14(3):121-132.
[4]袁超,方冬平,李果,等.心房颤动伴长R-R间期患者动态心电图特点及预后分析[J].中国医药,2016,11(11):1593-1597.
[5]李玉亮,王新夺.动态心电图长RR间期发病率及患者临床特征[J].海南医学,2016,27(19):3216-3217.
[6]FRANCO MC,NAKAO FS,RODRIGUES R,et al.Proposal of a clinical care pathway for the management of acute upper gastrointestinal bleeding[J].Arq Gastroenterol,2015,52(4):283-292.
[7]张桂艳,程德君,杨玲.动态心电图与常规心电图在冠心病患者心肌缺血及心律失常诊断中的应用价值[J].江苏医药,2014,40(8):918-920.
[8]HAYASHI H,MIYAMOTO A,KAWAGUCHI T,et al.P-pulmonale and the development of atrial fibrillation[J].Circ J,2014,78(2):329-337.
[9]UHM JS,SHIM J,WI J,et al.First-degree atrioventricular block is associated with advanced atrioventricular block,atrial fibrillation and left ventricular dysfunction in patients with hypertension[J].J Hypertens,2014,32(5):1115-1120.
[10]CHUN KJ,HWANG JK,CHOI SR,et al.Electrocardiogram PR interval is a surrogate marker to predict new occurrence of atrial fibrillation in patients with frequent premature atrial contractions[J].J Korean Med Sci,2016,31(4):519-524.
[11]张新刚,陈为君,唐颐,等.动态心电图检测长RR间期的作用分析[J].中国临床医学,2015,22(2):231-233.
[12]CHIN J,PEREIRA S,CAMACHO A,et al.Holt-oram syndrome:a case report[J].Rev Port Cardiol,2014,33(11):737.
[13]PETROU E,SAVVAS N,TSIPIS A.Electrocardiogram quiz-case16:paroxysmal atrial tachycardia with complete atrioventricular block[J].Arch Hell Med,2014,31(2):248-249.
[14]RUSSO V,NIGRO G,DI MEO F,et al.The effect of atrial preference pacing on atrial fibrillation electrophysiological substrate in myotonic dystrophy type 1population[J].Acta Myol,2014,33(3):127-135.
[15]SHEIKH N,SHARMA S.Impact of ethnicity on cardiac adaptation to exercise[J].Nat Rev Cardiol,2014,11(4):198-217.
[2]潘运萍,张芳芳,刘儒,等.持续性心房颤动合并逸搏及逸搏节律患者的RR-Lorenz散点图特征[J].中华心血管病杂志,2014,42(6):481-483.
[3]RUSSO V,RAGO A,PANNONE B,et al.Atrial fibrillation and beta thalassemia major:the predictive role of the 12-lead electrocardiogram analysis[J].Indian Pacing Electrophysiol J,2014,14(3):121-132.
[4]袁超,方冬平,李果,等.心房颤动伴长R-R间期患者动态心电图特点及预后分析[J].中国医药,2016,11(11):1593-1597.
[5]李玉亮,王新夺.动态心电图长RR间期发病率及患者临床特征[J].海南医学,2016,27(19):3216-3217.
[6]FRANCO MC,NAKAO FS,RODRIGUES R,et al.Proposal of a clinical care pathway for the management of acute upper gastrointestinal bleeding[J].Arq Gastroenterol,2015,52(4):283-292.
[7]张桂艳,程德君,杨玲.动态心电图与常规心电图在冠心病患者心肌缺血及心律失常诊断中的应用价值[J].江苏医药,2014,40(8):918-920.
[8]HAYASHI H,MIYAMOTO A,KAWAGUCHI T,et al.P-pulmonale and the development of atrial fibrillation[J].Circ J,2014,78(2):329-337.
[9]UHM JS,SHIM J,WI J,et al.First-degree atrioventricular block is associated with advanced atrioventricular block,atrial fibrillation and left ventricular dysfunction in patients with hypertension[J].J Hypertens,2014,32(5):1115-1120.
[10]CHUN KJ,HWANG JK,CHOI SR,et al.Electrocardiogram PR interval is a surrogate marker to predict new occurrence of atrial fibrillation in patients with frequent premature atrial contractions[J].J Korean Med Sci,2016,31(4):519-524.
[11]张新刚,陈为君,唐颐,等.动态心电图检测长RR间期的作用分析[J].中国临床医学,2015,22(2):231-233.
[12]CHIN J,PEREIRA S,CAMACHO A,et al.Holt-oram syndrome:a case report[J].Rev Port Cardiol,2014,33(11):737.
[13]PETROU E,SAVVAS N,TSIPIS A.Electrocardiogram quiz-case16:paroxysmal atrial tachycardia with complete atrioventricular block[J].Arch Hell Med,2014,31(2):248-249.
[14]RUSSO V,NIGRO G,DI MEO F,et al.The effect of atrial preference pacing on atrial fibrillation electrophysiological substrate in myotonic dystrophy type 1population[J].Acta Myol,2014,33(3):127-135.
[15]SHEIKH N,SHARMA S.Impact of ethnicity on cardiac adaptation to exercise[J].Nat Rev Cardiol,2014,11(4):198-217.