P波时限对老年阵发性心房颤动的预测价值  

The predictive value of the maximum and minimum P-wave durations on paroxysmal atrial fibrillation in in-patients with heart disease

作　　者：卢喜烈[1] 李智[2] 汪剑锋[2] 朱金秀[2] 马一鸣[1] 

机构地区：[1]中国人民解放军总医院,100853 [2]汕头大学医学院第一附属医院,515041

出　　处：《临床心电学杂志》2009年第5期339-341,共3页Journal of Clinical Electrocardiology

基　　金：863重点课题(项目编号:2007AA042105)

摘　　要：目的旨在探讨P波最大时限(Pmax)与最小时限(Pmin)对心血管病住院患者阵发性房颤的预测价值。方法回顾分析2008年1月至10月行12导联动态心电图监测的心内科住院患者98例,其中35例为阵发性房颤(病例组),其余63例为非房颤患者(对照组),对Pmax、Pmin及患者的临床特点进行比较。结果Pmax在阵发性房颤组较非房颤组明显增大(114.31±14.68vs.104.14±11.37,p<0.01),Pmin两组差别不明显(54.83±9.17vs.58.5±11.37,p=0.08),24h平均心率增快(89.29+24.62vs.73.86±14.60,p<0.01);经校正其它临床因素后显示,Pmax增大及快心室率是心血管病住院患者发生阵发性房颤的重要相关因素。结论12导联动态心电图Pmax增大及快心室率是预测心血管病住院患者发生阵发性房颤的较好指标。Objective To discuss the predictive value of the maximum（Pmax）and minimum（P min）P wave durations on paroxysmal atrial fibrillation （PAF） in in-patients with heart disease. Methods Ninety eight consecutive in-patients with heart disease were enrolled between January and October in 2008 and 12 lead holter monitoring were obtained from each patient. Thirty five of them have paroxysmal atrial fibrillation（group of PAF）. And the remainder have no atrial fibrillation （group of NAF）.Then compare their Pmax and Pmin and clinical character; Results The Pmax and average ventricular rate was significantly higher in PAF than NAF （114.31± 14.68 vs.104.14±11.37,p〈0.01）（89.29＋24.62 vs. 73.86±14.60,p〈0.01）.There was no significant difference in Pmin between PAF and NAE After adjustment for other covariates showed that higher Pmax and average ventricular rate were the important factors to predict the risk of PAF. Conclusion Higher Pmax and average ventricular rate in holter monitoring can predict the risk of PAF in in-patients with heart disease.

关 键 词：P波最大时限 P波最小时限 阵发性心房颤动 

分 类 号：R541.75[医药卫生—心血管疾病]