McLenachan J M, Dargie H J
Department of Cardiology, Western Infirmary, Glasgow, United Kingdom.
Am J Hypertens. 1989 Feb;2(2 Pt 1):128-31. doi: 10.1093/ajh/2.2.128.
Hypertensive patients with left ventricular hypertrophy (LVH) are predisposed to sudden cardiac death. Several studies have demonstrated that complex ventricular arrhythmias, including episodes of nonsustained ventricular tachycardia, occur commonly during ambulatory electrocardiographic monitoring of hypertensive patients with LVH. The prognostic significance of such arrhythmias is not known. In other forms of cardiac hypertrophy, however, such as hypertrophic cardiomyopathy, complex ventricular arrhythmias detected during ambulatory monitoring are predictive of subsequent sudden death and there is some evidence that appropriate antiarrhythmic drug therapy may reduce mortality.
患有左心室肥厚（LVH）的高血压患者易发生心源性猝死。多项研究表明，包括非持续性室性心动过速发作在内的复杂性室性心律失常，在对患有LVH的高血压患者进行动态心电图监测期间很常见。此类心律失常的预后意义尚不清楚。然而，在其他形式的心脏肥厚中，如肥厚型心肌病，动态监测期间检测到的复杂性室性心律失常可预测随后的猝死，并且有一些证据表明适当的抗心律失常药物治疗可能会降低死亡率。
