原发性高血压患者心脏电学改变研究进展  

Research progress of cardiac electrical changes in patients with essential hypertension

作　　者：阮炳新 黄菊香[2] 聂连涛 李中健[2] 李世锋[2] RUAN Bingxin;HUANG Juxiang;NIE Liantao;LI Zhongjian;LI Shifeng(Department of Electrocardiography,1.Nanning First People’s Hospital,Nanning Guangxi 530022;the Second Affiliated Hospital of Zhengzhou University,Zhengzhou Henan 450014,China)

机构地区：[1]南宁市第一人民医院心电图科,广西南宁530022 [2]郑州大学第二附属医院心电图科,河南郑州450014

出　　处：《实用心电学杂志》2022年第2期130-136,共7页Journal of Practical Electrocardiology

基　　金：广西壮族自治区卫生和计划生育委员会计划课题项目(Z2016697)。

摘　　要：原发性高血压(essential hypertension,EH)可引起靶器官损害,早期可致心脏电学改变。这些改变主要包括心房除极的P波改变、心室除极的QRS波改变、心室除极和复极总时间的改变、ST-T改变和心律失常等。通过心电图检查可直接了解和观察心脏的电学变化。本文对近20多年来国内外关于EH患者心脏电学改变的研究进展进行综述,旨在通过应用心电学技术帮助临床工作者早期识别、早期诊断EH对心脏的损害,为EH的诊断、用药、病情评估提供科学依据。Essential hypertension(EH)can cause damage to target organs and cardiac electrical changes in an early phase.These changes mainly include P-wave changes of atrial depolarization,QRS complex changes of ventricular depolarization,change of total time of ventricular depolarization and repolarization,ST-T changes,arrhythmia,and so on.By ECG examination cardiac electrical changes can be directly understood and observed.This paper reviews the research progress of cardiac electrical changes in EH patients at home and abroad in the past over 20 years,in order to help clinicians to identify and diagnose the heart damage caused by EH early by using electrocardiographic techniques,and so as to provide scientific basis for the diagnosis,medication and condition evaluation of EH.

关 键 词：原发性高血压 心脏电生理 心房除极 心室除极 ST-T改变 心律失常 

分 类 号：R544.11[医药卫生—心血管疾病] R540.41[医药卫生—内科学]