摘要
目的了解健康年轻人不完全性右束支传导阻滞(IRBBB)的临床意义。方法选择体检中出现IRBBB的健康年轻人215名为观察组,另选择心电图正常的健康年轻人223名作为对照组,每年一次心电图随访,共20年,比较两组束支传导阻滞的变化。结果观察组215人中,14人(6.51%)转变为完全性右束支传导阻滞(CRBBB),其中3人因出现高度房室传导阻滞安装了心脏起搏器;而对照组223人中,仅有3人(1.35%)出现了CRBBB,两组差异有统计学意义(u=2.57,P<0.05)。结论IRBBB为健康年轻人常见心电图表现之一,其进展为CRBBB和高度房室传导阻滞的概率较高,其中部分可能为Lenegre病的早期表现。应加强对这类人群的心电图随访。
Objective To understand the clinical significance of the incomplete right bundle branch block （IRBBB） in the healthy young people. Methods 215 healthy young people with IRBBB were choiced,223 healthy young people of normal electrocardiogram （ECG） were as control group. ECG was examined every year for 20 years.The changes of the bundle branch conduction were compared in two groups. Rerults 215 cases in the observation group, 14 cases（6.51%） progress to complete right bundle branch block（CRBBB）.Among them 3 cases installed the pacemakers because of high degree atrioventricular block.And 223 cases in the control group, only 3 cases （1.35%） had CRBBB.There were significant differences in the tow groups （u=2.57 ,P〈0.05 ）.Condusion IRBBB was a common manifestations of ECG in the healthy young people.It has the higher rate to progress to CRBBB and high degree atrioventricular block.Among them, some may be the early stages of lenegre disease.Should be to strengthen the follow-up ECG in the crowd.
出处
《中国心血管病研究》
CAS
2008年第8期584-585,共2页
Chinese Journal of Cardiovascular Research
