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[阵发性房颤心律失常患者的心房心肌状态]

[State of the atrial myocardium in patients with paroxysmal form of fibrillation arrhythmia].

作者信息

Zamotaev I P, Lozinskiĭ L G, Kerimova R E, Gvindzhiliia T V

出版信息

Kardiologiia. 1990 Oct;30(10):83-5.

PMID:2290280
Abstract

Seven two patients with coronary heart disease complicated with paroxysmal atrial fibrillation were studied by using accelerated atrial vector cardiography and M-mode echocardiography. Vector cardiography made it possible to reveal the signs of left atrial hyperfunction with normal left atrial echocardiographic dimensions. There were lower values for left ventricular myocardial contractility in parallel with higher echocardiographic dimensions of the left atrium. In the patients examined, progression of cardiosclerosis was accompanied by decreased amplitude values for the P loop on the vector cardiogram strip along with slower intraatrial conduction with an increase in the size of the left atrial cavity.

摘要

对72例冠心病合并阵发性心房颤动患者采用加速心房心电向量图和M型超声心动图进行研究。心电向量图能够揭示左心房功能亢进的征象,而此时左心房超声心动图测量值正常。左心室心肌收缩力较低,同时左心房超声心动图测量值较高。在所检查的患者中,心脏硬化的进展伴随着心电向量图上P环振幅值降低,以及心房内传导减慢和左心房腔增大。

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