Andresen D, von Leitner E R, Wegscheider K, Schröder R
Z Kardiol. 1982 Oct;71(10):669-73.
42 patients with complex ventricular arrhythmias were subjected to continuous long-term ECGs for three 24-hour periods. In 21 patients, the occurrence and frequency of simple ventricular premature beats (VPB) did not depend on whether it was day or night. The other 21 patients showed a regular reproducible day-and-night rhythm during all three registration periods. 14 (33%) of them had the highest VPB-frequency during day and 7 (17%) at night.--16 patients showed paired VPB. Again, only 50% (8 patients) showed a regular reproducible day-and-night rhythm during all three registration periods. 6 of them had the highest frequency of paired VPB during day and 2 at night. 23 patients showed a clearly recognizable relationship between VPB-frequency and heart rate during all three periods. In 18, the VPB-frequency ran parallel to the heart rate, but in 5 patients the VPB-frequency ran contrary to the heart rate. In 16 patients, the VPB-frequency showed a constant relationship to both heart rate and time of day, 5 patients only evidenced a relationship to time of day and 7 only to heart rate. The distinct dependence of VPB-frequency upon heart rate and/or time of day in numerous patients could be of differential therapeutic significance.
42例复杂性室性心律失常患者接受了连续三个24小时时段的长期心电图监测。在21例患者中，单纯室性早搏（VPB）的发生和频率与白天或夜晚无关。另外21例患者在所有三个记录时段均呈现出规律的、可重复的昼夜节律。其中14例（33%）在白天VPB频率最高，7例（17%）在夜间最高。16例患者出现成对VPB。同样，在所有三个记录时段中，只有50%（8例）呈现出规律的、可重复的昼夜节律。其中6例在白天成对VPB频率最高，2例在夜间最高。23例患者在所有三个时段中VPB频率与心率之间呈现出明显可辨的关系。18例中，VPB频率与心率平行，但在5例患者中，VPB频率与心率相反。16例患者中，VPB频率与心率和一天中的时间均呈现恒定关系，5例仅显示与一天中的时间有关，7例仅与心率有关。众多患者中VPB频率对心率和/或一天中时间的明显依赖性可能具有不同的治疗意义。
