摘要
目的:探讨原发性高血压患者的左心房内径变化对心房颤动的影响。方法:选取2019年1月~2020年5月入某院诊疗的原发性高血压患者156例,随机分组,其中52例为持续性房颤组,52例为阵发性房颤组,52例高血压无合并房颤患者为对照组,通过超声动态心电图检测左心房内径(Left atrial diameter,LAD)、左心室射血分数(Left ventricular ejection fraction,LVEF)。结果:持续性房颤组中LAD、LVEF、左心房增大发生率均高于阵发性房颤组和对照组,而阵发性房颤组的上述指标均高于对照组,差异具有统计学意义(P<0.05)。结论:高血压房颤患者会出现左心房内径增大、左心室射血分数降低的趋势,表明左心房内径变化对心房颤动产生影响,且左心房内径变化与房颤的发生密切相关。
Objective:To explore the effect of the change of left atrial diameter on atrial fibrillation in patients with essential hypertension.Methods:156 patients with primary hypertension who were admitted to a hospital from January 2019 to May 2020 were selected and randomly divided into three groups,of which 52 patients were in the group of persistent atrial fibrillation,52 patients were in the paroxysmal atrial fibrillation group,and 52 patients with hypertension and no atrial fibrillation were in the control group.The left atrial diameter(LAD)and left ventricular ejection fraction(LVEF)were detected by ultrasound dynamic electrocardiogram.Results:The incidence of LAD,LVEF,and left atrial enlargement in the group of persistent atrial fibrillation were higher than those in the paroxysmal atrial fibrillation group and the control group,while the above-mentioned indicators in the paroxysmal atrial fibrillation group were all higher than those in the control group,with statistical significance(P<0.05).Conclusion:Patients with hypertension and atrial fibrillation will have a tendency to increase the left atrial inner diameter and decrease the left ventricular ejection fraction,indicating that the change in the left atrial inner diameter has an effect on atrial fibrillation,and the change in the left atrial inner diameter is closely related to the occurrence of atrial fibrillation.
作者
刘富湘
谢宗明
李昌利
崔跃
Liu Fuxiang;Xie Zongming;Li Changli;Cui Yue(Department of Cardiology,Yangchun People's Hospital,Yangchun 529600)
出处
《数理医药学杂志》
CAS
2021年第5期658-660,共3页
Journal of Mathematical Medicine
基金
阳江市医疗卫生类科技计划项目,立项编号:SF2020147。
关键词
高血压
左房内径
心房颤动
hypertension
left atrial diameter
atrial fibrillation
