扩张型心肌病心律失常与心脏结构改变分析  

Analysis on changes of cardiac structure and arrhythmias in dilated cardiomyopathy

作　　者：王妮[1] 高秀芳[1] 王为真[2] 

机构地区：[1]延安大学附属医院心血管内科二病区,716000 [2]陕西省延安市人民医院介入中心

出　　处：《中国现代医药杂志》2009年第3期41-42,共2页Modern Medicine Journal of China

摘　　要：目的探讨扩张型心肌病(DCM)心律失常的发生与心脏结构改变的关系。方法98例DCM患者均行常规心电图、24h动态心电图检查及心脏超声检查,分析心律失常与心脏结构改变的相关性。结果DCM心房颤动的发生与左房扩大程度密切相关,传导阻滞的发生与左室扩大程度有关,室性心律失常的发生与心室腔的扩大无明显关系。结论DCM患者心房颤动、传导阻滞的发生与心脏结构改变有关,通过改善心脏结构的重塑可延缓本病的自然进程。Objective To discuss the relationship between arrhythmias in dilated eardiomyopathy （DCM） ehanges of cardiac structure. Methods 98 patients with DCM were studied with conventional ECG, Hoher and cardiac ultrasound examination, analysed the relation of cardiac arrhythmias and structural changes of cardiac. Results The occurrence of atrial fibrillation of DCM was closely related to the extent of left atrial enlargement, the conduction retardaree was related to left ventrieular enlargement, however, the oeeurrenee of ventricular arrhythmia was no obviously related to the expansion of ventricular. Conclusion The occurrence of atrial fibrillation and conduction retardaree of patients with DCM was related to the structural changes of eardiae, and it eould delay the process of this disease through improving the remodeling of eardiae structure.

关 键 词：扩张型心肌病 心律失常 心脏超声 心脏结构 

分 类 号：R542.2[医药卫生—心血管疾病] R541.7[医药卫生—内科学]