Chazan R, Droszcz W
Kliniki Pneumonologii Instytutu Chorób Wewnetrznych Akademii Medycznej, Warszawie.
Pol Arch Med Wewn. 1992 Apr-May;87(4-5):237-41.
In severe bronchial asthma reversible electrocardiographic abnormalities are not rare. It is usually sinus tachycardia, right axis deviation, atrial enlargement and right bundle branch block. Transient ST-segment depression or elevation in inferior leads in severe acute asthma has been observed since long. Adrenergic stimulation, hyperventilation, hyperinflation and primary or secondary coronary insufficiency were as a causes. Severity of ECG signs correlated with the degree of airway obstruction. Our study was aimed at investigation of electrocardiographic abnormalities in chronic pulmonary obstructive disease and asthma and to assess the relationship of the extent of airway obstruction to the frequency of ECG changes. Correlation was found of ECG manifestation of sinus tachycardia, right ventricle hypertrophy. ventricular premature complex, right bundle branch block with the degree of airway obstruction.
在严重支气管哮喘中,可逆性心电图异常并不罕见。通常表现为窦性心动过速、电轴右偏、心房扩大和右束支传导阻滞。长期以来,人们观察到在严重急性哮喘中,下壁导联会出现短暂的ST段压低或抬高。肾上腺素能刺激、过度通气、肺过度充气以及原发性或继发性冠状动脉供血不足都是其原因。心电图征象的严重程度与气道阻塞程度相关。我们的研究旨在调查慢性阻塞性肺疾病和哮喘中的心电图异常情况,并评估气道阻塞程度与心电图变化频率之间的关系。研究发现窦性心动过速、右心室肥大、室性早搏、右束支传导阻滞的心电图表现与气道阻塞程度相关。