摘要
目的探讨心房颤动合并长R-R间期的动态心电图(DCG)特征。方法选取2016年10月~2018年9月本院心房颤动合并长R-R间期患者100例,所有患者均给予24hDCG检查并分析其特征。结果100例患者共出现长R-R间期14556次,其中睡眠相关者60例(60.00%)、非睡眠相关者40例(40.00%);依据检测结果分为睡眠组和非睡眠组,睡眠组最慢、最快、平均心室率明显高于非睡眠组,差异有统计学意义(P<0.05);睡眠组长R-R间期、逸搏、逸搏心律、晕厥发生率明显低于非睡眠组,差异有统计学意义(P<0.05)。结论DCG可有效检测心房颤动合并长R-R间期情况,心房颤动合并长R-R间期多发生在夜间睡眠状态,而非睡眠时出现长R-R间期、心室率低、晕厥患者,应当予以高度重视。
Objective To explore characteristics of dynamic electrocardiogram(DCG)of atrial fibrillation combined with long R-R interval.Methods 100 patients with atrial fibrillation combined with long R-R interval in our hospital from October 2016 to September 2018 were selected.All patients were given 24hDCG examination and their characteristics were analyzed.Results 14556 long R-R intervals were observed in 100 patients.Among them,60 were sleep-related patients(60.00%)and 40 were non-sleep-related patients(40.00%).According to the test results,they were divided into sleep group and non-sleep group.The slowest,fastest and average ventricular rate in sleep patients was significantly higher than that in non-sleep patients,and the difference was statistically significant(P<0.05).The long R-R interval,escape beat,escape beat rhythm and incidence of syncope in sleep group were significantly lower than those in non-sleep group,and the difference was statistically significant(P<0.05).Conclusion DCG can effectively detect atrial fibrillation combined with long R-R interval.Atrial fibrillation combined with long R-R interval occurs more frequently during night sleep.Non-sleep-related patients are prone to long R-R interval,low ventricular rate and syncope,which should be paid high attention.
作者
梁见弟
叶继亮
姚永钊
梁丽珍
LIANG Jiandi;YE Jiliang;YAO Yongzhao;LIANG Lizhen(Electrocardiographic Room,Dongguan People’s Hospital,Guangdong,Dongguan 523000,China;Department of Cardiology,Dongguan People’s Hospital,Guangdong,Dongguan 523000,China)
出处
《中国医药科学》
2019年第19期180-182,共3页
China Medicine And Pharmacy
关键词
心房颤动
长R-R间期
动态心电图
Atrial fibrillation
Long R-R interval
Ambulatory electrocardiogram
