平板运动试验诱发冠心病患者心律失常分析  

Analysis of arrhythmia induced by treadmill exercise test among patients with coronary heart disease

作　　者：路永平[1] 于阿信[1] 陈腾[1] 宋歌[1] 周云洁[1] 于东贤 

机构地区：[1]河南中医药大学第二临床医学院,河南郑州450000

出　　处：《实用心电学杂志》2016年第6期420-421,427,共3页Journal of Practical Electrocardiology

基　　金：河南省科技攻关计划项目(142102310282)

摘　　要：目的分析平板运动试验诱发冠心病和非冠心病患者心律失常的情况。方法选取234例经冠状动脉造影的患者行平板运动试验,根据冠脉造影结果将其分为冠心病组(141例)和非冠心病组(93例),比较两组平板运动试验诱发心律失常的类型及特点。结果冠心病组心律失常发生率为42.55%(60/141),明显高于非冠心病组的15.05%(14/93),差异有统计学意义(P<0.05)。冠心病组心律失常构成类型:室性早搏26.95%、房性早搏5.67%、阵发性室速2.13%、阵发性房颤1.42%、右束支阻滞2.84%和短阵室速3.55%。结论平板运动试验既可诱发冠心病组发生心律失常,又可诱发非冠心病组发生心律失常,可用于冠心病的辅助诊断。Objective To contrast the situation of arrhythmia induced by treadmill exercise test( TET) between patients with coronary heart disease( CHD) and non-CHD ones. Methods A total of 234 patients underwent TET,and were divided into CHD group( 141 cases) and non-CHD group( 93 cases) according to angiographic findings. The types and characteristics of TET-induced arrhythmia were compared between the two groups. Results The incidence of arrhythmia in CHD group was significantly higher than that in non-CHD group [42. 55%( 60 /141) vs. 15. 05%( 14 /93),P < 0. 05 ]. In CHD group, arrhythmias included premature ventricular contraction( 26. 95%),atrial premature beats( 5. 67%),paroxysmal aventricular tachycardia( 2. 13%),paroxysmal atrial fibrillation( 1. 42%),right bundle branch block( 2. 84%) and nonsustained ventricular tachycardia( 3. 55%). Conclusion TET can not only induce arrhythmia in CHD group but also in non-CHD group. It is helpful in the auxiliary diagnosis of CHD.

关 键 词：平板运动试验 冠心病 心律失常 

分 类 号：R541.7[医药卫生—心血管疾病]