动态心电图对冠心病心律失常的观察  

A OBSERVATION OF DYNAMIC ELECTROCARDIOGRM FOR ARRHYTHMIA OF CASES WITH CORONARY ARTERY DISEASE

作　　者：牛生山[1] 桑晓银[1] 陈淑萍[1] 张新超[1] 

机构地区：[1]宁夏医学院附属医院功能科,宁夏医学院附属医院心内科

出　　处：《宁夏医学院学报》1995年第2期121-125,共5页Journal of Ningxia Medical College

摘　　要：本文对２８０例冠心病（ＣＡＤ）患者的２４ｈ动态心电图（ＤＣＧ）心律失常进行了观察和分析。受检者心肌梗塞（ＭＩ）９０例，年龄３８～７８（平均５８．２）岁，心绞痛（ＡＰ）１９０例，年龄３１～７７（平均５７．２）岁，≥６０岁者共１２７例。室上性早搏（ＰＳＶＢ）的发生频次在ＭＩ和ＡＰ组间无差异。ＭＩ患者复杂性室性早搏（ＰＶＢ）及频发性（ＰＶＢ）以及短阵性室性心动过速（ＶＴ）的发生率均高于ＡＰ患者，窦性心动过速及窦性心动过缓的发生率在ＭＩ和ＡＰ组间则无差异。It was reported that the arrhythmia examined with dynamicelectorcardiogram(DCG)in 280 cases with coronary artery disease(CAD)was observated and scme regularities and clinical significances between a variety of arrhymia and CAD were analysed.These patients including 90 cases with myocardial infarction(MI)and 190 with angina pectoris(AP),were aged from 31 to 78 years,in which there were 127 cases over 60 years.There was no difference in incidence of premature superventricular beats(PSVB)between MI and AP group.The incide-nces of complicated premature ventricular tachycardia(VT)in MI group were markedly higher than the AP group,while no differences in sinus bradycardia and sinus tachycardia were found between MI and AP group.

关 键 词：动态心电图 冠心病 心律失常 心绞痛 心肌梗塞 室上性早搏 

分 类 号：R541.4[医药卫生—心血管疾病] R541.7[医药卫生—内科学]