P波离散度预测高血压病患者心房颤动发生的研究  

Study on P wave dispersion in hypertensive patients as prediction of atrial fibrillation

作　　者：陈虹心[1] 孙炎华[1] 邝子良[1] 

机构地区：[1]广东省江门市中心医院心电生理室,529030

出　　处：《中国实用医药》2011年第10期24-25,共2页China Practical Medicine

摘　　要：目的探讨P波离散度在高血压并发心房颤动患者中作为无创性预测的价值。方法选取伴心房颤动的高血压病患者62例作为观察组,无心房颤动的高血压病患者55例作为对照组,测定心电图和超声心动图指标。结果观察组Pmax、Pd和LAD值分别较对照组增加了10.4、27.6和9.1,与对照组比较差异有统计学意义(P<0.05);但Pmin、LVEF值在两组间差异无统计学意义(P>0.05)。相关性分析发现仅Pd是心房颤动的独立预测因子。结论 P波离散度对高血压患者心房颤动的发生具有重要预测价值。Objective To investigate the value of P wave deviation degree in hypertensive patients with atrial fibrillation as a noninvasive prediction.Methods 62 hypertensive patients with atrial fibrillation were selected as the observation group and 55 hypertensive patients without atrial fibrillation as control group.Patients of two groups were measured with ECG and echocardiography.Results Compared with the control group,observation group Pmax,Pd and LAD values were increased by 10.4%,27.6% and 9.1%,and there were statistically significant differences P0.05）.But Pmin,LVEF values in the two groups showed no significant difference（P0.05）.Correlation analysis showed that only Pd is the independent predictor of atrial fibrillation.Conclusion P wave dispersion has great value in predicting atrial fibrillation occurrence of hypertensive patients.

关 键 词：P波离散度 预测 高血压病 心房颤动 

分 类 号：R544.1[医药卫生—心血管疾病]