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心率变异性分析在儿茶酚胺依赖性多形性室速危险分层中的应用(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2004年第4期
页码:
354-355
栏目:
临床研究
出版日期:
2004-07-01

文章信息/Info

Title:
Application of heart rate variability to danger grading of cathecholaminergic polymorphic ventricular tachycardi
作者:
左进1胡曙萍1钱海燕2
武汉大学人民医院:1.心电图室,2.心内科,湖北武汉430060
Author(s):
ZUO JinHU Shu-ping QIAN Hai-yan
Renmin Hospitol of Wuhan University,Wuhan,Hubei 430060,Chin
关键词:
心率变异性儿茶阶映心动过速多形性室性
Keywords:
heart rate variabilitycatecholamintachycardiaventricularpolymorphi
分类号:
R541. 71
DOI:
-
文献标识码:
A
摘要:
目的:探讨心率变异性分析(HRV)在儿茶阶胺依赖性多形性室速(CPVT)危险分层中的应用价值.方法:分析30例CPVT患者(心脏性葬死5例,.厥史10例,无晕撅史15例)及50例正常人(对照组)的心率变异性.结果:5例碎死患者HRV各项指标均显著低于其他非碎死CPVT患者及对照组,.厥组HRV各项指标均显著低于非.厥CPVT组及对照组,非.厥组HRV各项指标低于对服组但差异不显著。结论二HRV对于CPVT患者发生心脏性碎死具有敬感的预侧价值,可用于CPVT危险分层.
Abstract:
AIM:To investigate whether HRV is valuable in danger grading of cathecholaminergic polymorphic ventricular tachycardia (CPVT). METHODS:HRV indexes of 30 CPVT patients(5 with sudden cardiac death (SCD),10 with syncope history,15 without syncope) and 50 normal persons were analysed. RESULTS:The HRV indexes of 5 patients with SCD were remarkably less than that of all other patients and normal men,and the indexes of those patients without SCD were less than that of normal persons. CONCLUSION:These results indicate that HRV,which sensitive to SCD of CPVT patients is very valuable in danger grading of CPVT.

参考文献/References

[1]全国心率变异性、倾斜试脸及QT离散度专题学术研讨会记要[J] .中 华 心血管病杂志,1998,2 6(3),246-249.

[2]张勇翔,黄晨,张阳阳。老年冠心病患者无症状心肌缺血的临床研究 [ J] .心脏杂志,2002,14(2):390-3 92.

[3」中国生物医学工程学会心脏起搏与电生理分会.心脏碎死的防治建议 [J].中国心脏起搏与电生理杂志,2003,17(1):1-14.

[4]PostmaAV,D enjoy1 ,Hoorntje TM,et al.Absence of calsequestrin -2 causes severe forms of catechelaminergic polymorphic ventricular tachycardia[J].Circ Res,2002,91(8):e21一 e26 .

[5]PrioriSG,NapolitanoC ,MemmiM .et al.Clinicaland molecular characterization of patients with catecholaminergic polymorphic ventricular tachycardia[J].Circulation,2002,106(1),8-10 .

备注/Memo

备注/Memo:
收稿日期:2003-8-29
更新日期/Last Update: 2004-07-01