期刊文献+

心房晚电位预测老年人阵发性心房颤动的价值 被引量:4

Value of atrial late potential predicting paroxysmal atrial fibrillation in aged person/I
下载PDF
导出
摘要 目的:探讨心房晚电位预测阵发性心房颤动的价值。方法:以P波触发体表信号平均心电图记录技术测试55例老年人(正常组),35例有单发房性早搏者(房早组)及50例阵发性心房颤动患者(房颤组)的心房晚电位(包括滤波后P波时限,P波终末20 ms、30 ms、40 ms的电压均方根值)并进行比较分析。结果:滤波后P波时限:较之正常组与房早组,房颤组的显著延长(P<0.01),正常组与房早组无显著差异(P>0.05)。P波终末20 ms电压均方根值:正常组为(5.89±2.07)μV,房早组为(5.03±2.04)μV,房颤组为(3.96±1.80)μV,较之正常组与房早组,房颤组的显著降低(P<0.01,P<0.05),正常组与房早组无显著差异(P>0.05);P波终末30 ms电压均方根值:较之正常组、房早组,房颤组的显著降低(P<0.01.P<0.05).房早组亦较正常组显著降低(P<0.05)。结论:P波触发体表信号平均心电图记录心房晚电位可作为预测阵发性心房颤动的一个快速、无创性指标。 Objective: To explore the value of atrial late potential (ALP) predicting paroxysmal atrial fibrillation (PAF) in aged person. Methods :Fifty five aged persons (normal group) , 35 patients with atrial premature beat (APB, APB group) and 50 patients with PAF (PAF group) had their ALP measured [contain : The P wave duration after filtered (Ad), mean roof square (MRS) of voltages for the last 20 ms (LP20), 30 ms (LP30) and 40 ms (LP40)] with the P waves\|triggered signal-averaged electrocardiogram and comparatively analyzed. Results: Ad: Compared with normal group and APB group the Ad of PAF group significantly increased (F<0. 01), there was no significant difference between normal group and APB group (P>0. 05). LP20 significantly decreased in AF group than that in normal group and APB group (3. 96±1. 80 μV vs 5. 89±2. 07 μV, P<0. 01 and vs 5. 03±2. 04 μV, P<0.05), there was no significant difference between normal group and APB group (P>0. 05). Compared with normal group and APB group the LP30 of PAF group significantly decreased (P<0. 01, P<0. 05); the LP30 of PAF group was significantly less than APB group (P<0. 05). Conclusion: Atrial late potential may be a non-traumatic index to predict paroxysmal atrial fibrillation.
机构地区 浙江医院
出处 《心血管康复医学杂志》 CAS 2005年第1期66-68,共3页 Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词 老年人 正常 阵发性心房颤动 房早 心电图 P波 体表 无创性 记录技术 患者 Old age Atrial premature beat Atrial fibrillation, paroxysm Atrial late potential
  • 相关文献

参考文献8

  • 1Olgin JE,Kalman JM,Fitzpatrick AP,et al.Role of right atrial endocardial structures as barriers to condution during human type I atrial flutter,activagion andentrainment mapping guided by intracardiac echocardiography[J].Circulation,1995,92:1893.
  • 2Cox JL, Boineau JP, Schessler RB, et al. Five year experience with the maze procedure for atrial fibrillation[J]. Ann Thorac Surg,1993,56:814.
  • 3薛莉,刘晓方.心房颤动的流行病学及治疗现状调查[J].心血管康复医学杂志,2004,13(5):453-455. 被引量:4
  • 4Vemmos KN, Takiis CE, Georgi1is K, et al. The Athens stroke registry:resu1ts of a five-year hospital-based study[J].Cerebrovasc Dis, 2000,20:133.
  • 5屈百鸣,车贤达,王长华,吴立萱,胡雪烈,俞坚武,李忠杰.非接触心内膜激动标测系统引导下的左房消融治疗阵发性心房颤动的初步研究[J].中国心脏起搏与心电生理杂志,2002,16(4):249-252. 被引量:8
  • 6Fukunami M, Yamada T,Ohmori M, et al. Derection of patients at risk for paroxysmal atrial fibrillation during sinus rhythm by P wave triggered signal-averaged electrocardiogram[J].Circulation,1991, 83:162-169.
  • 7Ferrer MI.Axioms on heart block[J].Hosp Med,1977,13:251-257.
  • 8Gray RA,Jalife J,Panfilov AV,et al.Mechanisms of cardiac fibrillation[J].Science,1995,270:1222-1225.

二级参考文献11

共引文献10

同被引文献32

  • 1李刚,邓应忠,于世龙.心房晚电位[J].心血管病学进展,1993,14(4):234-236. 被引量:2
  • 2刘东.心房晚电位对心房纤颤检测的方法及临床意义[J].重庆医科大学学报,1995,20(3):247-250. 被引量:1
  • 3林涛,杨月榕,李鹏虹.老年高血压患者P波离散度与阵发性心房颤动的关系[J].心血管康复医学杂志,2006,15(6):602-604. 被引量:4
  • 4郑和昕,袁放,吴天凤,江缨,俞晓映.老年2型糖尿病合并冠心病患者心房晚电位检测的临床价值[J].临床内科杂志,2007,24(4):259-261. 被引量:3
  • 5Dilaveris PE, Gialafos EJ, Sideris SK, et al. Simple electrocardiographic markers for the prediction of paroxysmal idiopathic atrial fibrillationl[J]. Am Heart J, 1998, 135 (5): 733-738.
  • 6Allessie MA, Boyden PA, Camm AJ, et al. Pathophysiology and prevention of atrial fibrillation [J]. Circulation, 2001, 103 (5): 769-777.
  • 7Miyasaka Y,Barnes ME,Gersh BJ,et al.Secular trends in incidence of atrial fibrillation in Olmsted county,1980 to 2000,and implication on the projections for future prevalence[J].Circulation,2006,14:119-125.
  • 8叶任高,陆在应.内科学[M].北京:人民卫生出版社,2009:162-163.
  • 9Musselman DL,Evans DL,Nemeroff CB.The relationship of depression to cardiovascular disease:epidemiology,biology and treatment[J].Arch Gen Psychiatry,1998,580-592.
  • 10Linden W,Stossel C,Maurice J.Psychosocial intervention for patients with coronary artery disease:a meta-analysis[J].Arch Intern Med,1996,156:745-752.

引证文献4

二级引证文献6

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部