VENTRICUAL ECTOPY IN PATIENTS WITH HYPERTENSIVE LEFT VENTRICULAR HYPERTOPHY  

作　　者：缀福 龚兰生 

出　　处：《Medical Bulletin of Shanghai Jiaotong University》1995年第2期36-43,共8页上海交通大学学报（医学英文版）

摘　　要：It has been noticed that patients with essential hypertension and left ventricular hypertrophy on EKG, are highly exposed to a risk of sudden death. LVH in arterial hypertension has repeatedly been documented to trigger or aggravate ventricular ectory. So we investigated the frequency of complex ventricular arrhythmia by means of 24-hour holter monitoring in 120 patients divided into 3 groups, the first group are 40 patients of essential hypetrtension with LVH, the second group are 40 patients with essential hypertension without LVH, and the third group are 40 normotensives without LVH as a control group. The three groups have been matched for age, sex and smoking habit, and the two hypertensive groups matched for blood pressure before and after antihypertensive therapy and duration of hypertension. Thirty hypertensive patients were examined for plasma norepinephrive on the day of holter monitoring, fifteen of those with LVH and the other fifteen without LVH. Nonsustained ventricular tahycardia, had been seen on five (12.5%)of the 40 patients with echocardiographic patten of LVH, and in no one of the 40 hypertensive patients without hyperophy and the 40 normotgnsive control group. Ninteen patients (47. 5%) with LVH had episodes of less than 30 premature ventricular contraction/hour. One patient (2.5%) with LVH has episodes of >30 premature ventricual contraction/hour, higher grade of ventricular ectopic activity such as coupled premature ventricular contractions was seen in two patiens (5%) and multifocal premature ventricular contractions in 11 patiens (27.5%) of the group with LVH. In this study all the data suggest that complex ventricular arrhythmia occur commonly in hypertensive patients with LVH, and map contribute the higher incidence of sudden death in these patients.ＶＥＮＴＲＩＣＵＡＬＥＣＴＯＰＹＩＮＰＡＴＩＥＮＴＳＷＩＴＨＨＹＰＥＲＴＥＮＳＩＶＥＬＥＦＴＶＥＮＴＲＩＣＵＬＡＲＨＹＰＥＲＴＯＰＨＹＤｈａｉｆａｌｌａｈ（缀福）；ＧｏｎｇＬａｎｓｈｅｎｇ（龚兰生）；ＺｈａｎｇＷｅｉｚｈｏｎｇ（张维忠）；ＹａｎｇＬｉ...

关 键 词：echocardiography ELECTROCARDIOGRAPHY ARRHYTHMIA hypertension left ventricular hypertropyh AMBULATORY electrocardiogrrphic - monitoring 

分 类 号：R541.3[医药卫生—心血管疾病]