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|本期目录/Table of Contents|

动态心电图对室性心动过速诊断价值的探讨(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
1995年第3期
页码:
142-144
栏目:
论著
出版日期:
1995-05-01

文章信息/Info

Title:
Diagnostic value of Holter ECG monitoring in ventricular tachycardia
作者:
胡雅明1 俞 锋2 傅英华1 尹小妹1 于 霞1
浙江医科大学附属二院 1心电图室 2心血管内科 杭州 310009
Author(s):
Hu Yaming1; Yu Feng2; Fu Yinghua1; et al
The 2nd Affiliated Hospital，Zhejiang Medical University，Hangzhou 310009
关键词:
动态心电图; 室性心动过速; 冠状动脉疾病; 心肌炎; 心肌痛
Keywords:
Holter electrocardiography; ventricular tachycardia; coronary disease; myocarditis;  cardiomyopathy
分类号:
-
DOI:
-
文献标识码:
-
摘要:
从1650例动态心电图中检出室性心动过速(室速)33例，检出率为2％。24 h室速发作频度≤10次者29例,多于10次者4例，最多1例为1566次。33例室速患者中患冠心病、心肌炎和心肌病等26例 (78.8％)。室速由R落P诱发14例(42.4％)，R落T1例(3.0％)。活动时发生室速13例(39.4％)，其中12例(92.3％)有器质性心脏病。室速时频率为74～230次／min，平均129.3次／min。早搏指数小于1。提示动态心电图对检出室速、尤其对患器质性心脏病者有重要临床意义，应重视R落P诱发室速现象。
Abstract:
Twenty-four-hour Holter ECGs were recorded in 1650 patients．Ventricular tachycardia(vT)was observed in 33 cases(2.0％)．The number of VT episodes during 24-hour monitoring was less than 10 in 29 patients．but one victim had 1566 VT episodes．of the 33 patients，underlying heart diseases,such as coronary heart disease，cardiomyopathy and myocarditis，were present in 26 cases(78.8％)．VT was induced by R on P phenomena in 14 cases(42.4％)，and R on T in one case(3.0％)．In the status of exercise，VT occurred in 13 patients(39.4％)，12 of whom suffered from organic heart diseases．The rate of VT ranged from 74／min to 230／min(averaged 129.3／min).The values of all premature index(PI)were less than 1.0.These data suggest that Ho1ter monitoring plays an important role in clinically diagnosing VT，especially in the patients with organic heart diseases.It should be noticed that VT could be induced by R on P phenomenon．

参考文献/References

［1］Lown B．Wolf M．Approaches to sudden death from coronary heart disease．Circulition 1971；44：130.

［2］Unverfreth DV．Magorien RD．Moeschberger ML,et al.Factors in fluencing the one-year mortality of dilated eardiomyopathy．Am J Cardiol 1984；54：147.

［3］Zipes DP．A consideration of proarrhythmic events．Am J Cardid 1988；61：70A.

［4］Milner PG．Platia EV．Ried PR．et al．Ambulatory electrocardiographic recordings at the time of fatal cardiac arrest. Am J Cardiol 1985；56：588.

［5］吴 祥,胡雅明,陈端．R落P上现象与室性心动过速．心电学杂志1983；2(2)：13.

［6］Sayama A．Anan T．Areki H．et al．Prevalence of ventricular tachycardia in patients with different underlying heart diseases：A study by Holter ECG monitoring．Am Heart J 1986；112(1)：44.

备注/Memo

备注/Memo:
Received 1994-02-18；revised 1995-03-15
更新日期/Last Update: 1995-05-01