退行性心脏瓣膜病心律失常与超声关系的研究  

The study of the relationship between arrhythmia and CDFI in degerative cardiac valvular disease

作　　者：黄明通[1] 郑三晖[1] 黄慧君[3] 张文篪[2] 

机构地区：[1]汕头大学医学院第二附属医院心血管内科,广东省汕头515041 [2]汕头大学医学院第二附属医院心电图室 [3]汕头大学医学院第一附属医院

出　　处：《中国基层医药》2007年第6期911-912,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 探讨老年退行性心脏瓣膜病发生心律失常的类型及与超声改变的关系，进一步提高对本病的认识。方法 分析经彩色多普勒超声电脑仪等诊断为老年退行性心脏瓣膜病的75例患者的心律失常的构成与超声改变的关系。结果退行性心脏瓣膜病的心律失常发生率为81．3％，其中室上性心律失常占55．8％，各类型传导阻滞占25．0％，室性心律失常占11.5％、房性并室性心律失常占7．7％。各类型心律失常中心房颤动占32．7％．居首位，其发生与左房扩大有关（P〈0.01），本病心律失常发生率的高低与钙化累及瓣膜的多少无直接关系（P〉0．05）。结论 老年退行性心脏瓣膜病心律失常发生率高，其心律失常的发生与心肌或传导束的退行变、钙化累及传导束以及病变心肌的扩张等有关。Objective To study the type of arrhythmia in degerative cardiac valvular disease, and the relationship between arrhythmia and CDFI in disease, to enhance the knowledgement of the disease. Methods From 1999 May to 2005 May, 75 cases with degerative cardiac valvular disease were selected as objects. All＂ the patients were diagnosed by color Doppler flow imaging（CDFI）,and the relationship between the arrhythmia and changes in ultrosonicology was analyzed. Results The rate of arrhythmia in all the cases was 81.3 %. Among the arrhythmia. supraventricalar arrhythmia made up 55.8 % , all kinds of respectively block 25.0 % , ventricular arrhythmia 11,5 % , atrial and ventricular arrhythmia 7.7 %. The atrial fibrillation was the top one（32.7 % ） ,it was related with left atrial enlargement（P 〈 0.01 ）, and the rate of arrhythmia in the cases had no relationship with the degree of valvular calification（P 〉 0.05）. Conclusions The rate of arrhythmia in senile degerative valvular heart disease is high. And it is related with myocardiolysis,calification of bundie branch and myocardiac enlargement,et al.

关 键 词：心脏瓣膜疾病 心律失常 超声检查 多普勒 彩色 老年人 

分 类 号：R44[医药卫生—诊断学] R541[医药卫生—临床医学] R542