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[冠心病中的左心室舒张功能与室性心律失常]

[Left ventricular diastolic function and ventricular arrhythmias in coronary heart disease].

作者信息

Brugger P

出版信息

Z Kardiol. 1985 Sep;74(9):512-8.

PMID:2414934
Abstract

In 70 patients suffering from coronary heart disease, to a large extent after myocardial infarction, left ventricular diastolic function was examined with a nuclear stethoscope using Peak Filling Rate (PFR) and Time to Peak Filling Rate (TPFR). Ventricular arrhythmias were recorded by 24-hour ECG and the arrhythmias were analyzed according to the Lown classification. The parameters severing the ventricular arrhythmias were correlated with the previously mentioned parameters of diastolic left ventricular function. A correlation was found between PFR and TPFR and the severity of ventricular arrhythmias, whereby the difference in the PFR between Lown classes 0 and III and also between 0 and IVa was statistically significant. For TPFR a statistically significant distribution could be found only between Lown 0 and III.

摘要

在70例冠心病患者中,在心肌梗死后很大程度上,使用核听诊器通过峰值充盈率(PFR)和达到峰值充盈率的时间(TPFR)来检查左心室舒张功能。通过24小时心电图记录室性心律失常,并根据洛恩分类法对心律失常进行分析。与室性心律失常相关的参数与前述左心室舒张功能参数相关。发现PFR和TPFR与室性心律失常的严重程度之间存在相关性,其中洛恩0级和Ⅲ级之间以及0级和Ⅳa级之间的PFR差异具有统计学意义。对于TPFR,仅在洛恩0级和Ⅲ级之间发现有统计学意义的分布。

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