原发性高血压患者无症状性心肌缺血和室性心律失常的变化及意义  

Asymptomatic Myocardial Ischemias and Ventricular Arrhythmias in Essential Hypertension

作　　者：孙广辉[1] 宁玉琴[1] 隋凤[1] 朱晓英[1] 于洪杰[2] 侯建民[2] 苏子杰[2] 韦荷英 

机构地区：[1]镇江医学院附属医院老年病研究室,212001 [2]镇江医学院附属医院心内科,212001

出　　处：《天津医药》1994年第9期527-529,共3页Tianjin Medical Journal

摘　　要：报告66例原发性高血压患者与40例血压正常者的无症状性心肌缺血和室性心律失常的变化,随访观察两年。结果高血压组室性心律失常发生率为90.91％,其中成对室早25.76％,短阵室速13.64％;无症状性心肌缺血发作43.94％,与血压正常组比较有极显著性差异(P<0.001),尤以原发性高血压伴左室肥厚者更明显。室性心律失常与无症状性心肌缺血间关系密切。左室肥厚,无症状性心肌缺血和室性心律失常是影响预后的重要因素。We studied 66 Patients with essential hyrertens on and 40 norniotensive individuals to observe the changes of asymptomatic myocardial ischemias (AMI) and ventricular arrhythmias (VA).All Patients were included in 24 months follow-up study. The results revealed that 60 of 66 hypertensive patients had VA (90.91%),17 (25.76%/ had ventricular Pairs, 9(13.64%) had nonsustained ventricular tachycardia, and 29(43.94%)had AMI. The'incidence of above mentioned cardiac events was significantly higher in hypertensive patients than in normotensive individuals (P< 0.001), particularly the patients with left ventricular hypertrophy. During the period of follow-up, 4 patients died of cardiac events, 4 had myocardial infarction. There was a close relation between the occurrence of VA and episodes of transient AMI. The presence of left ventricular hypertrophy, episodes of transient AMI and VA were important factors influencing prognosis.

关 键 词：高血压 心肌缺血 室性 心律失常 临床分析 

分 类 号：R544.1[医药卫生—心血管疾病]