摘要
目的 为探讨原发性高血压(EH)患者心肌缺血(MI)与室性心律失常(VA)之间的关系及其临床意义。方法 90例EH患者和20例健康体检者行动态心电图检查,了解MI及VA发生的情况并探讨心肌缺血表现及其与室性心律失常发生的关系。结果 EH患者中24 h动态心电图上有MI表现组室早总数明显高于无MI表现组和对照组(P<0.05),且有MI表现组室早总发生率和LownⅢ级以上室早发生率也明显高于无MI表现组和对照组(P<0.05)。结论 在EH患者中24h心电图上有MI表现时更易导致室性心律失常的发生。对EH患者的治疗,除正规降压治疗外,应积极检测和改善MI,对预防恶性室性心律失常或猝死具有重要意义。
Objective To investigate the relation between myocardial ischemia (MI) and ventricular arrhythmia(VA) in patients with essential hypertention (EH). Methods Ambulatory electrocardialgram (AECG) monitoring was performed in 90 patients with EH and 20 control cases in order to detect the incidence of MI and VA. The relation between MI and VA was also evaluated. Results The sum of VA in EH patients who had MI during 24 hour-AECG monitoring was greater than that in ones who had no MI and control cases(P<0.05). The incidence rate of total VA and VA above LownⅢ degree in MI group was also higher than that in no MI group and control group (P<0.05). Conclusion EH patients who had MI during 24 hour-AECG monitoring was easier to evoke incidence of VA. Besides anti-hypertention therapy, it is important for EH patients to detect and ameliorate the incidence of MI in order to prevent VA and sudden death.
出处
《解放军护理杂志》
2003年第8期18-19,共2页
Nursing Journal of Chinese People's Liberation Army
