24小时动态心电图检出室性心动过速分析
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Analysis of Ventricular Tachycardia in Ambulatory Patients
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    摘要:

    对57例24h动态心电图检出的316阵室性心动过速进行分析发现,发生在日间活动中最多,共212阵,占67%;发生在睡眠中104阵,占33%。有154阵室性心动过速发生前有ST段压低或上抬,提示室性心动过速发生与心肌缺血有关。312阵室性心动过速中提前指教大于或等于1.0(占98.7%),说明室性心动过速的发生大多数不是由"R波重叠T波"现象激发;易损指数无一阵大于1.0,提示动态心电图监测的室性心动过速不具有高的易损指数。316阵室心动过速无一例发展为心室扑动或心室颤动。

    Abstract:

    To detect and analyse episodic ventricular tachycardia(EVT)in ambulatory patients, 24 h electrocardiographic recordings were performed in 57 consecutive patients with stable heart disease.Total number of EVT was 316.212 episodes( 68%)oc cured in day time when the patients were going about everyday activities.104 episodes(33%)occured during sleep.ST elevation or depression were noted in 154 episodes before on set of EVT,suggesting EVT might be related to myocardial ischemia.312 episodes(98.7%)had premature index(R-R'QT)≥1 indicating the majority of of EVT were not triggered by "Ron on T" phenomenon. Average vulnerability index(RR ×OT)/RR'was 0.54, index value greater than one was not observed,most EVT were not associated with high vulnerability index. None of the 316 episodes terminated in vertricular flutter or ventricular fibrillation.

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蒋克强,薛书峰,向利珍.24小时动态心电图检出室性心动过速分析[J].中国动脉硬化杂志,1996,4(3):212.

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