致心律失常性右室心肌病的临床观察及心电学研究  

Clinical observation and electrocardiographic study of arrhythmogenic right ventricular cardiomyopathy

作　　者：钟晓明[1] 李小珠[1] 陈恩[1] 李庆军[1] 

机构地区：[1]湛江中心人民医院,广东524037

出　　处：《齐齐哈尔医学院学报》2013年第9期1273-1274,共2页Journal of Qiqihar Medical University

基　　金：湛江市科技攻关计划项目(编号:2011C3103024)

摘　　要：目的探讨其影像学改变与心电图之间的潜在关联,提高临床对本病的认识。方法选择符合2009年欧洲心脏病学会诊断标准的ARVC患者进行心电图、超声心动图及动态心电图检查,对相关参数进行统计分析。结果右室结构改变和功能异常以及心电图异常是诊断ARVC的主要指标,Epsilon波是ARVC的一个特异性较强的心电图指标,具有病因学诊断价值。局部病变组患者持续性室性心动过速发生率与其它两组比较无明显差异(P>0.05)。结论超声心动图及心电图是诊断ARVC的两个重要手段。ARVC患者即使病变轻微,临床上却同样可以发生恶性心律失常。提示临床应警惕起病隐匿的早期局部病变ARVC患者,进行及时的干预治疗,以减少恶性心律失常乃至猝死的发生。Objective To explore the potential association between radiological changes and ECG,improve the clinical knowledge of this disease.Methods With the European Society of Cardiology criteria in 2009 for the diagnosis of ARVC,patients were selected,ultrasound heartbeat graph of electrocardiogram and dynamic electrocardiogram,statistical analysis of related parameters.Results Right ventricular structural changes and functional abnormalities and abnormal electrocardiogram was the main index for the diagnosis of ARVC,Epsilon wave of ARVC was a strong specific electrocardiographic parameters,with the etiologic diagnosis value.Persistent ventricular heartbeat tachycardia occurrence rate and the other two groups were not significantly different between the patients with local disease group（P0.05）.Conclusions Ultrasonic heartbeat graph and ECG are two important means in the diagnosis of ARVC.ARVC patients even mild clinical disease,but can also undergo malignant arrhythmia.Clinical should early local lesions in patients with ARVC alert onset occult,intervention treatment in time in order to reduce the malignant arrhythmia and sudden cardiac death.

关 键 词：右室心肌病 心律失常 晕厥 猝死 EPSILON波 遗传性心肌病 

分 类 号：R542.2[医药卫生—心血管疾病]