运动试验诱发冠心病心律失常的研究  

The study of arrhythmia induced by exercise among patients with coronary heart diseae

作　　者：卢利红[1] 徐文晶 吴其明[1] 宋毓青[1] 王昭 董茜 韩晓涛[1] 陈立静 Lu lihong;Xu wenjing;Wu qiming;Song yuqing;Wang zhao;Dong qian;Han xiaotao;Chen lijing(Dpartment of Cardiology,Beijing Ditan Hospital,Capital Medical University,Beijing 100015,China)

机构地区：[1]首都医科大学附属北京地坛医院

出　　处：《临床心电学杂志》2019年第2期112-114,共3页Journal of Clinical Electrocardiology

摘　　要：目的利用平板运动试验TET(treadmill exercise testing)监测和观察运动中冠心病和非冠心病患者心律失常的诱发情况。方法选取273例经冠状动脉造影证实的冠心病和非冠心病患者行TET检查,其中冠心病组(152例),非冠心病组(121例),比较两组患者运动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44.08%(67/152),明显高于非冠心病组的14.88%(18/121),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26.97%(41/152)、房性早搏5.26%(8/152)、阵发性室速5.92%(9/152)、阵发性房颤3.29%(5/152)、右束支阻滞2.63%(4/152)。结论运动可诱发心律失常,冠心病组高于非冠心病组,室性心律失常更多见,对于冠心病患者预防心脏性猝死(SCD)的诊断有一定价值。Objective To observe tha arrhythmias induced by exercise beteween coronary heart disease group and non-coronary heart disease patients in the exercise of treadmill testing. Methods Choose 273 patients of coronary angiography TET examination, according to the result of coronary angiography were divided into CHD group(152 cases) and non CHD group(121 cases). Comparing the types and characteristics of exercise-induced arrhythmia of two groups of patients. Results The results of coronary heart disease group, the incidence of arrhythmia was 44.08%,significantly higher than the 14.88% of non-coronary heart disease group, the difference was statistically significant(p<0.05). Coronary heart disease group of arrhythmia types: ventricular premature beat 26.97%(41/152), atrial premature beat 5.26%(8/152), paroxysmal ventricular tachycardia 5.92%(9/152),paroxysmal fibrillation 3.29%(5/152), right bundle branch block 2.63%(4/152). Conclusions Exercise can induce arrhythmia, the coronary heart disease group is higher than the non CHD group, the ventricular arrhythmia is more, that has certain value to the diagnosis of coronary heart disease.

关 键 词：运动 冠心病 心律失常 

分 类 号：R541.7[医药卫生—心血管疾病] R540.41[医药卫生—内科学]