Král B, Tilser P, Gregor J, Pospísil M, Strasová A, Eliás J, Havel V
Vnitr Lek. 1989 Jan;35(1):23-9.
The authors investigated the incidence of arrhythmias by the method of continuous recording of ECG tracings according to Holter in 16 patients with chronic respiratory diseases three times in the course of two years. The incidence of arrhythmias was very frequent, more serious disorders (class 3 or a higher class according to Lown's classification) were very rare. The authors provided evidence of a great variability in the incidence of arrhythmias in the same patients during different periods of investigation. They did not reveal a relationship between the incidence of arrhythmias and the degree of functional affection of the lungs, the severity of hypoxaemia and the drop of the maximum aerobic capacity of the lungs. They did not find a relationship between the incidence of arrhythmias and the pressure in the pulmonary artery, or the size of the right or left ventricle or the thickness of their wall. The authors do not consider the finding of arrhythmias in patients with chronic lung disease an unequivocally serious finding, as reported sometimes in the literature.
作者采用动态心电图连续记录法（霍尔特监测），对16例慢性呼吸系统疾病患者在两年内进行了三次研究，以调查心律失常的发生率。心律失常的发生率非常高，而更严重的紊乱（根据洛恩分类为3级或更高等级）非常罕见。作者提供了证据表明，在同一患者的不同调查时期，心律失常的发生率存在很大差异。他们没有发现心律失常的发生率与肺部功能损害程度、低氧血症的严重程度以及肺最大有氧能力的下降之间存在关联。他们也没有发现心律失常的发生率与肺动脉压力、右心室或左心室的大小或其壁厚度之间存在关系。作者认为，正如文献中有时报道的那样，在慢性肺病患者中发现心律失常并不一定是一个明确的严重发现。
