肌袖性房性心律失常动态心电图特点及临床意义  

Characteristics and clinical significance of dynamic electrocardiography in atrial arrhythmia related to muscle sleeve

作　　者：余芳[1] 钟丹[1] 舒佳[1] 

机构地区：[1]成都中医药大学附属医院,610072

出　　处：《实用心电学杂志》2010年第1期71-73,共3页Journal of Practical Electrocardiology

摘　　要：目的探讨肌袖性房性心律失常的动态心电图特征及临床意义。方法对11例肌袖性房性心律失常患者的动态心电图及临床资料进行回顾性分析。结果肌袖性房性心律失常均发生在窦性心律的基础上,反复出现短阵房性心动过速、短阵心房扑动、短阵心房颤动等多种房性心律失常。各种房性心律失常常共存或交替出现、连绵不断、长期迁延。发作时间1～20min不等。诱发肌袖性房性心律失常的偶联间期较短,几乎均呈"P-on-T"现象。结论肌袖性房性心律失常是一组具有特征性的房性心律失常,多数患者并无器质性心脏病,药物治疗无效,射频消融术可根治。Objective To explore the characteristics and clinical significance of dynamic electrocardiography in at- rial arrhythmia related to muscle sleeve. Methods Retrospective analysis of dynamic electrocardiography and clinical features of 11 cases with muscle sleeve atrial arrhythmia. Results Muscle sleeve atrial arrhythmia occurred during sinus rhythm and multiple atrial arrhythmias such as atrial tachycardia, atrial flutter and atrial fibrillation. Various atrial arrhyth- mias often coexisted or occurred alternatively which lasted from 1 to 20 minutes. The interval of atrial premature triggering muscle sleeve atrial arrhythmias was comparatively short and displayed the P on T pattern. Conclusion Muscle sleeve atrial arrhythmia is a group of atrial arrhythmia with special characteristics. Most of patient have no organic heart disease. Medication therapy has no effect while radiofrequency ablation can cure it radically.

关 键 词：肌袖 房性心律失常 动态心电图 临床 

分 类 号：R541.7[医药卫生—心血管疾病]