85例伴长RR间期患者的动态心电图分析  

Analysis of Dynamic Electrocardiography in 85 Patients with Long RR Interval

作　　者：顾婷婷[1] 高祥华[1] 王蔚蔚[1] 

机构地区：[1]南京医科大学第二附属医院心电图室,江苏南京210011

出　　处：《医学临床研究》2012年第1期69-71,共3页Journal of Clinical Research

摘　　要：[目的]探讨动态心电图分析长RR间期的临床价值.[方法]对85例动态心电图检查结果出现长RR间期（RR≥2 000 ms）者结合其日常生活日志进行回顾性分析.[结果]85例患者出现长RR的状况如下：①长RR间期可出现在房颤伴长RR 33例,窦性停搏15例,窦房传导阻滞12例,房室传导阻滞（包括Ⅰ度、Ⅱ度、Ⅲ度及高度房室传导阻滞）26例,早搏后长代偿8例;②最长RR可达8.68 s;③长RR间期多见于夜间睡眠期（0：00~5：00）及白天休息期（12：00~14：00）,活动及清醒期比较少见;④长RR＞3 000 ms时患者会出现黑曚、晕厥甚至抽搐.[结论]动态心电图长RR分析对于减少临床上心源性猝死是简单有效的预测方法.[Objective]To explore the clinical value of dynamic electrocardiography（DCG） analysis of long RR interval. [Methods] The clinical data of 85 cases with long RR interval ≥2000ms according to the results of 24-hour DCG and their daily living logs were analyzed retrospectively. [Results]The results of 85 patients with long RR interval were as follows： （1） There were 33 cases of atrial fibrillation with long-RR interval, 15 cases of sinus arrest, 12 cases of sinoatrial block, 26 cases of atrioventricular block（including Ⅰ°, Ⅱ°, Ⅲ° and high degree of atrioventricular block） and 8 cases of long compensatory after atrial premature beats. （2）The longest RR interval was up to 5.12s. （3）The long RR interval occurred commonly in the nocturnal sleep period （0：00-5：00） and the rest time in the daytime （12：00~14：00）, and was quite rare in activity and conscious period. （4）The patients with long RR〉3000ms had some symptoms such as amaurosis, syncope and even con- vulsions. [Conclusion] DCG analysis of long RR interval is a simple and effective prediction method, and can reduce the clinical incidence of sudden cardiac death.

关 键 词：心电描记术 

分 类 号：R540.41[医药卫生—心血管疾病]