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[门诊阶段心内科医生会诊患者的心律失常和传导障碍特征]

[Characteristics of Disturbances of Heart Rhythm and Conduction Among Patients Attending Consultation of a Cardiologist at Ambulatory Stage].

作者信息

Getman S I

机构信息

Medical Center Primorsky District.

出版信息

Kardiologiia. 2018 Jun;58(6):20-28.

PMID:30362433
Abstract

We included in this study 652 patients with persistent disturbances of heart rhythm and conductiion who attended a cardiologist of the consulting center during 2 years. Analysis of results of examination of these patients was aimed at identification of possible etiologic factors of the appearance of arrhythmias. In 48 patients (8.84 %) we did not identify any apparent cause of arrhythmia. This group of patients underwent cardiac magnetic resonance imaging (MRI) for clarifying the nature of arrhythmias. In 32 patients MRI allowed to establish probable cause of a rhythm disturbance. Data of the study draws attention to high rate of detection of MR-signs of myocarditis (in ⅓ of patients subjected to MRI).

摘要

我们纳入了652例持续性心律和传导紊乱患者,这些患者在两年内就诊于咨询中心的心脏病专家。对这些患者的检查结果进行分析旨在确定心律失常出现的可能病因。在48例患者(8.84%)中,我们未发现心律失常的任何明显病因。这组患者接受了心脏磁共振成像(MRI)以明确心律失常的性质。在32例患者中,MRI有助于确定节律紊乱的可能病因。该研究数据提请注意心肌炎MR征象的高检出率(在接受MRI检查的患者中有三分之一)。

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