Nikolov G, Iungnik A
Vutr Boles. 1986;25(1):48-54.
Holter-monitoring, for 24 hours, has been performed to with 47 patients (12 females and 35 males), average age 59,05 +/- 10,98. All patients had ischemic heart disease, 13 with myocardial infarction in a subacute stage, 10--with postinfarction cicatrix, 7 with unstable angina pectoris, 4 with the syndrome of the morbid sinus node and 13--with myocardial sclerosis. Rhythm disorders were recorded in only 12 patients (25.5%). Ventricular extra systoles were recorded in 31 patients (65.9%), 70.97% being from class III-V according to Lown. Ventricular tachycardia was established in 8 patients (25.8%), with 3 paroxysms within 24 hours on the average. Transitory absolute arrhythmia was established in 4 cases and in 12-atrial extrasystoles. The incidence and class of ventricular activity, according to nosological entities were analyzed. Ventricular tachycardia in 87.5% was triggered by relatively late extra-systoles. The antiarrhythmic treatment, administered in the moment, proved not to be effective in the majority of the patients. The importance of holter-monitoring was stressed on both for registration and documentation of the various rhythm disorders and for the evaluation of the effectiveness of the treatment.
对47例患者（12例女性，35例男性）进行了24小时动态心电图监测，平均年龄59.05±10.98岁。所有患者均患有缺血性心脏病，其中13例处于亚急性期心肌梗死，10例有心肌梗死后瘢痕，7例为不稳定型心绞痛，4例为病态窦房结综合征，13例为心肌硬化。仅12例患者（25.5%）记录到心律失常。31例患者（65.9%）记录到室性早搏，根据洛恩分级，70.97%为Ⅲ - V级。8例患者（25.8%）确诊为室性心动过速，平均24小时内发作3次。4例患者出现短暂性绝对心律失常，12例出现房性早搏。根据疾病分类分析了心室活动的发生率和分级。87.5%的室性心动过速由相对较晚的早搏诱发。当时进行的抗心律失常治疗在大多数患者中证明无效。强调了动态心电图监测对于记录和记录各种心律失常以及评估治疗效果的重要性。
