摘要
目的分析甲亢性心脏病并发快速心律失常患者的临床特点。方法应用24小时动态心电图和心脏超声检测80例甲状腺功能亢进性心脏病并发快速心律失常(房颤时,心室率100~180次/分或>180次/分患者组)(观察组)和80例甲状腺功能亢进非快速型心律失常(房颤时,心室率65~100次/分)患者组(对照组)两组的心室率(次/分)、LVIDD(mm)、LVEF(%)、FS(%)、快速型房颤[例(%)]、极速型房颤[例(%)]、并发室速[例(%)]、TSH(μU/ml)、FT3(mol/L)、FT4(mol/L)、应用胺碘酮或利多卡因[例(%)]进行分析。结果观察组快速型房颤20例(25.00%)、极快速型房颤50例(62.50%)、并发室速15例(18.75%),对照组则无。心室率:观察组180±22次/分,对照组88±12次/分,P<0.001;LVIDD:观察组60.20mm,对照组44.80mm,P<0.01;LVEF:观察组28.60%,对照组45.00%,P<0.001;FS:观察组22.20%,对照组32.40%,P<0.01;血清TSH、FT3、FT4:观察组0.70mol/L、8.88mol/L、34.24mol/L,对照组0.58mol/L、7.80mol/L、29.68mol/L,P<0.05。应用胺碘酮或利多卡因药物:观察组18.75%,对照组则无。结论甲亢性心脏病患者发生快速型或极快速型房颤(心室率≥180次/分),可能并发室速或室颤,尤其是极快速型房颤更容易发生室速或室颤,甚至危及生命,应引起高度重视。
Objective To Analyze the rapid arrhythmia in patients with hyperthyroid heart disease.Methods The 24 hour dynamic electrocardiogram recording and ultrasound heart function test were done in eighty patient with hyperthyroid heart disease complicating arrhythmia(atrial fibrillation at that times,ventricular rate 100~180 bpm or>180 bpm)in patients group(observed group)and eighty in patient were hyperthyroid heart disease were no complicating arrhythmia(atrial fibrillation at that times,ventricular rate 65-100bpm)in patients group(compared group)two group of ventricular rate(bpm),LVIDD(mm),LVEF(%),FS(%),rapid atrial fibrillation patient(%)、limiting velocity atrial fibrillation(%),complicating ventricular arrhythmia patients(%),TSH(μU/ml),FT3(mol/L),FT4(mol/L),using amiodarone or lidocaine patients(%).Results Twenty patients in the observed group had rapid atrial fibrillation(25.00%),50 patients had extra rapid atrial fibrillation(62.50%),15 patients(18.75%)had ventricular arrhythmia,none was found in compared group;ventricular rate(beat/min)was 180±22 bpm in observed group,and 88±12bpm in compared group,P<0.001;LVIDD was 60.20mm in observed group,44.80mm in compared group(P<0.01);LVEF was 28.60%in observed group,and 45.00%in compared group,P<0.001;FS was 22.20%in observed group,and 32.40%in compared group(P<0.01);TSH,FT3,FT4 was 0.70 mol/L,8.88 mol/L,and 34.24mol/L in observed group,0.58mol/L,7.80mol/L,29.68mol/L in compared group(P<0.05);there is 18.75%patients using amiodarone or lidocaine patients in observed group,but none in compared group.Conclusions The rapid atrial fibrillation or extra rapid atrial fibrillation(ventricular rate≥180 bpm),can deteriorate to ventricular arrhythmia or ventricular fibrillation,and danger life,the altitude is paid great attention to.
作者
刘颖
黄佐贵
谭小军
Liu ying;Huang zuogui;Tanxiaojun(People's Hospital Affiliated to Chongqing Three Gorges Medical College,Chongqing,404000,China;Three Gorges Hospital Affiliated to Chongqing University,Chongqing,404000,China)
出处
《临床心电学杂志》
2022年第6期442-444,共3页
Journal of Clinical Electrocardiology
