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20至79岁健康成年受试者的室性早搏

Premature ventricular beats in healthy adult subjects 20 to 79 years of age.

作者信息

Rasmussen V, Jensen G, Schnohr P, Hansen J F

出版信息

Eur Heart J. 1985 Apr;6(4):335-41. doi: 10.1093/oxfordjournals.eurheartj.a061860.

DOI:10.1093/oxfordjournals.eurheartj.a061860
PMID:2411563
Abstract

111 healthy subjects, 57 males and 54 females, 20-79 years of age, randomly selected among the participants of the Copenhagen City Heart Study were tested for ventricular ectopic activity using ambulatory 24-h ECG recording. One or more premature ventricular beats (PVBs) appeared in 68 subjects (61%), 35 males and 33 females (61% of each group). The prevalence of PVBs increased significantly with age: 31, 68 and 84% in the respective age groups: 20-39, 40-59 and 60-79 (P less than 0.05). The number of PVBs per 24 h was less than 24 in 88 (79%), less than 300 in 105 (95%), and less than 500 in 107 (96%). More than 1000 PVBs per 24 h appeared in 3 (2.7%), one of whom had 11 669. The number of PVBs per 24 h increased with age, but the increase was not statistically significant. The number of PVBs per 100 000 recorded QRS-complexes did not differ significantly from the number of PVBs per 24 h. The number of PVBs h-1 was highest in daytime, and apparently higher in males than in females. However, the difference between the two sexes was not statistically significant. Multiform PVBs appeared in 4 subjects, interpolated PVBs in 2, a run of 5 PVBs in 1, dropped beats in 3, two pauses of 1900 ms duration in 1, and several post-acceleration pauses of 1300 ms duration in 1.

摘要

从哥本哈根市心脏研究的参与者中随机选取了111名健康受试者,年龄在20至79岁之间,其中男性57名,女性54名,采用24小时动态心电图记录对其室性异位活动进行检测。68名受试者(61%)出现一个或多个室性早搏(PVB),其中男性35名,女性33名(每组均为61%)。PVB的患病率随年龄显著增加:在20 - 39岁、40 - 59岁和60 - 79岁年龄组中分别为31%、68%和84%(P小于0.05)。每24小时PVB的数量,88名受试者(79%)少于24次,105名受试者(95%)少于300次,107名受试者(96%)少于500次。每24小时超过1000次PVB的有3名受试者(2.7%),其中1名有11669次。每24小时PVB的数量随年龄增加,但增加无统计学意义。每100000次记录的QRS波群中PVB的数量与每24小时PVB的数量无显著差异。每小时PVB的数量白天最高,且男性明显高于女性。然而,两性之间的差异无统计学意义。4名受试者出现多形性PVB,2名出现插入性PVB,1名出现连续5次PVB,3名出现漏搏,1名出现2次持续1900毫秒的停搏,1名出现几次持续1300毫秒的加速后停搏。

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