高血压病左室心肌重量指数与室性心律失常的关系  

The Relationship between left ventricular mass indexes and ventricular arrhythmias in hypertensive patients

作　　者：孙福山[1,2] 刘斌[1,2] 张尔娟[1,2] 杨晓风 

机构地区：[1]白求恩医科大学第二临床学院电诊科 [2]通化市同济医院心内科

出　　处：《中国实验诊断学》1998年第4期209-210,共2页Chinese Journal of Laboratory Diagnosis

摘　　要：探讨高血压病左室心肌重量指数与室性心律失常的关系。方法采用彩超及２４ｈ动态心电监测技术，对９８例高血压病（ＥＨ）患者左室心肌重量指数（ＬＶＭＩ）及室性心律失常（ＶＡ）的发生情况进行检测。结果ＥＨ患者左室心肌肥厚（ＬＶＨ）组ＶＡ发生率明显高于非心肌肥厚组（Ｐ＜０．０１）。且重度ＬＶＨ组较轻度ＬＶＨ组ＶＡ发生率高（Ｐ＜０．００１）。结论ＬＶＨ可导致ＶＡ的发生，ＶＡ的发生可能是ＬＶＨ出现心脏性猝死的直接原因。bjective To estimate the relationship between left ventricular mass indexes(LVMI)and ventricular arrhythmias(VA)in hypertensive patients.Methods LVMI and VA were measured by echocardiolographical and 24 hour ambulatory electrocardiographic monitoring in 98 hypertensive patients.Results The rate of VA in light LVMI group were higher than those in no left ventricular hypertrophy(LVH)group,and the rate of VA in significant LVMI were higher than those in light LVMI (P<001).Conclusions The result of this study suggested that LVH was related to VA.

关 键 词：高血压 左室肥厚 心律失常 心肌重量指数 

分 类 号：R544.106[医药卫生—心血管疾病] R541.7[医药卫生—内科学]