前壁及下壁急性心肌梗死并发心律失常比较分析  

Comparing of cardiac arrythmia between anterior and inferior acute myocardial infarction

作　　者：张琦 李丹 雷晓明[2] 

机构地区：[1]广州市老人院,广东广州510550 [2]广州市第一人民医院,广东广州510080

出　　处：《心血管康复医学杂志》2004年第1期73-75,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:比较分析前壁及下壁急性心肌梗死(AMI)后并发心律失常的类型。方法:收集了186例急性心肌梗死患者梗塞后出现的各种心律失常的类型,并作统计分析。结果:①前壁心梗后窦速和室内传导阻滞发生率显著高于下壁心梗(P分别<0.05,<0.01),而下壁心梗后窦缓及房室传导阻滞发生率显著高于前壁心梗(P均<0.01)。②下壁心梗并发房性及室性异位节律(未包括室颤)均显著高于前壁心梗(P均<0.05)。结论:前壁心梗及下壁心梗并发心律失常的类型有差别:前者以窦速和室内传导阻滞较常见,后者以窦缓、房室传导阻滞及房室异位心律常见。Objective:Compare and analysis the types of cardiac arrhythmia in anterior acute myocardial infarction (AMI) and inferior AMI. Methods: Collected data of 186 AMI patients with cardiac arrhythmia after infarction and analyzed according statistics. Results:(1)The incidence rates of sinus tachycardia and introventricular block in anterior acute infaraction were significantly higher than those in inferior acute infarction (P<0. 05> P<0. 01 respectively); while the incidence rates of sinus bradycardia and atrioventricular block in inferior acute infarction were significantly higher than those in anterior infarction (P<0. 01); (2)Atrial and ventricular arrhythmia (not including ventricular fibrillation) in inferior infarction were both significantly higher than those of anterior acute infarction (P<0. 05). Conclusion: There is difference in the types of cardiac arrhythmia between anterior infarction and inferior infarction.

关 键 词：心前壁 心下壁 急性心肌梗死 AMI 心律失常 治疗 

分 类 号：R542.22[医药卫生—心血管疾病] R541.7[医药卫生—内科学]