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室性心律失常与心率变异性的相关性研究X(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
1999年第1期
页码:
15-17
栏目:
论著
出版日期:
1999-01-01

文章信息/Info

Title:
The study of correlation between ventricular arrhythmia and heart rate variability
作者:
李上共XX　黄元伟　朱建华　陈君柱　胡申江　但青宏
(浙江医科大学附属一院心血管研究室　杭州 310003
Author(s):
Li Shang gong ;  Huang Yuanwei;  Zhu Jianhua;  Chen Junzhu ;  Hu shenjiang ; Dan Qinghong
Institute of Cardiovascular Disease, First Affiliated Hospital, Zhejiang Medical University,Hangzhou 310003
关键词:
冠状动脉疾病　心律失常;  室性　心率变异性
Keywords:
coronary heart disease　　arrhythmia;  ventricular 　　heart rate variability
分类号:
-
DOI:
-
文献标识码:
-
摘要:
作者用24 h动态心电图研究66例冠心病患者室性心律失常和心率变异的相关性。结果发现, 高危室早(Lown 分级≥Ⅲ级)的发生与性别、年龄、冠脉病变程度和心肌梗死与否无明显相关,但高危室早者的SDNN (P<0.01),SDANN(P<0.01)和LF(P<0.05)低于低危室早者(Lown分级≤Ⅱ级)。提示SDNN ,SDANN和LF减小是高危室早发生的独立危险因子。
Abstract:
The relation between ventricular arrhythmia and heart rate variability was studied from 24 hour Holter recordings in sixty-six patients with coronary heart disease. It was shown that high risk ventricular arrhythmia (VE) was not related to age, sex, impairment degree of coronary artery, myocardial infarction, but to heart rate variability: SDNN , SDANN and LF were lower in patients with high risk VE than those in patients with low risk VE. It is suggested that heart rate variability is an independent risk factor of ventricular arrhythmia.

参考文献/References

［1］Lown B, Wolf M. approches to sudden death from coronary heart disease. Circulation, 1971; 44 (1) : 130.

［2］Wolf MW ,Varigos GA , Hunt D, et al. Sinus arrhythmia in acute myocardial infarction. Med J Aust, 1978; 2 (2) : 52.

［3］Tsuji H,Venditti FJ ,Manders ES, et al. Reduced heart rate variability and mortality risk in an eldery cohort: the Framingham Heart study. Circulation, 1994; 90 (2) : 878.

［4］ Kleiger RE, Miller JP, Bigger JT, et al. Decreased heart rate variability and its association with increased mortality after acute myocardial infarction. Am J Cardiol, 1987; 59 (4) : 256.

［5］Rich MW , Saini JS, Kleiger RE, et al. Correlation of heart rate variability with clinical and angiographic variables and late mortality after coronary angiography. Am J Cardiol, 1988; 62 (10,pt 1) : 714.

[6]Bigger JT, F leiss JL , Steinman RC, et al. Frequency domain measures of heart period variability and mortality after myocardial infarction. Circu lation, 1992; 85 (1) : 164.

[7]Bigger JT, Fleiss JL,Rolnitzky LM , et al. Frequency domain measures of heart period variability to assess risk late after myocardial infarction. J Am Coll Cardiol, 1993; 21 (3) : 729.

[8]Valkama JO , Huikuri HV , Koistinen MJ , et al. Relation between heart rate variability and spontaneous and induced ventricular arrhythmias in patients with coronary artery disease. J Am Coll Cardiol, 1995; 25 (2) : 437.

[9]Persson PB,Wagner CD. General principles of chaotic dynamics.Cardiovasc Res, 1996; 31 (3) : 332.

［10］刘式适, 刘式达, 谭本馗. 混沌、分形和自相似. 见: 刘式适, 刘式达, 谭本馗, 编著. 非线性大气动力学. 北京: 国防工业出版社,1996: 127～ 163.

备注/Memo

备注/Memo:
收稿1998-01-04　修回1998-07-22)X浙江省教委资助课题 951077，省卫生厅立项课题XX现在浙江省温州医学院附属二院心内科（325000）
更新日期/Last Update: 1999-01-01