摘要
目的采用动态心电图分析心房颤动合并长RR间期(≥1.5s)、逸搏及逸搏心律患者是否存在病理性房室阻滞。方法用动态心电图仪24h记录患者的心电图,根据患者生活记录,把长RR间期、逸搏及逸搏心律出现时间是否与睡眠相关,分为与睡眠相关组(A组)及非睡眠相关组(B组)。结果共106例患者,A组75例(70.8%),B组31例(29.2%)。A组发生长RR间期1.5～2.0s、>2.0s及逸博及逸搏心律人平均数分别25.17±9.57、7.21±0.93、6.79±1.23;B发生长RR间期1.5～2.0s、>2.0s及逸搏及逸搏心律人平均数分别203.14±39.86、34.79±7.56、27.39±6.13,B组明显多于A组(p<0.01)。结论心房颤动合并长RR间期、逸搏及逸搏心律与睡眠相关时比率高,为非病理性房室阻滞;而与睡眠无关时应视为病理性房室阻滞。
Objective To analyze dynamic electrocardiography whether atrial fibrillation with long RR interval （≥1.5seconds）, escape beat and escape heart rhythm,has the pathological atrioventricular block or not. Methods Electrocardiograms of the cases were delected continuously with a period of 24 houses,and the cases were divided into 2 groups, group with relative of sleep（group A）and group withoud relative to sleep （group B）,according to the relation of long RR interval,escape beat and escape beat heart rhythm to sleep . Results 106 patients, 75 patients （70.8%） in group A,31 patients （29.8%）in group B. The numbers of cases with long RR interval of 1.5-2.0 seconds,of more than 2.0 seconds,escape beat and escape heart rhythm were 25.17±9.57,7.21±0.93,6.79±1.23 in group A,and 203.14±39.86,34.79±7.56. 27.39±6.13 in group B,respectively, those numbers in group B were markedly more than those in group A （P〈0.01）. Conclusion The atrial fibrillation with long RR interval, escape beat and escape heart rhythm relative to sleep is not caused by pathological atrioventrieular block,and rates of it is high;otherwise, those atrial fibrillation not relative to sleep,that is caused by pathological atrioventricular block.
出处
《临床心电学杂志》
2005年第4期259-261,共3页
Journal of Clinical Electrocardiology
关键词
动态心电图
心房颤动
长RR间期
房室阻滞
dynamic electrocardiogram
atrial fibrillation
long RR interval
atrioventricular block.
