Meinertz T, Kasper W, Schmitt B, Treese N, Rückel A, Zehender M, Hofmann T, Schuster H P, Pop T
Dtsch Med Wochenschr. 1983 Apr 8;108(14):527-31. doi: 10.1055/s-2008-1069591.
Of 350 patients who had extensive non-invasive and invasive cardiological diagnostic tests, 56 had completely normal results. 24-hour ECG monitoring of the latter revealed the following ventricular arrhythmias-ventricular extrasystoles (VES): 36% without, 23% with rare ones (less than 30/h), 5.4% with more than 30/h, 25% with polytopic VES, 7.1% with paired VES and 3.6% with ventricular tachycardia. There was no preferential VES pattern. Mean duration of VES was 0.15 s. There were no VES with a prematurity index of less than 1. Extending ECG monitoring to 96 hours (10 persons without heart disease) did not reveal any more significant VES, but registering for less than 24 hours definitely underestimated the frequency of VES in persons without heart disease. In those without angiographic evidence of heart disease 36% had complex and 5.4% frequent VES. Complex arrhythmias, however, are rare in the individual subject and generally not accompanied by frequent VES. Frequent complex arrhythmias or both frequent and complex arrhythmias, as well as VES with a prematurity index less than 1, are suggestive of organic heart disease.
在350例接受了广泛的非侵入性和侵入性心脏诊断检查的患者中，56例结果完全正常。对后者进行24小时心电图监测发现以下室性心律失常——室性期前收缩（VES）：36%无室性期前收缩，23%有偶发室性期前收缩（每小时少于30次），5.4%每小时室性期前收缩超过30次，25%有多形性室性期前收缩，7.1%有成对室性期前收缩，3.6%有室性心动过速。没有优先的室性期前收缩模式。室性期前收缩的平均持续时间为0.15秒。没有提前指数小于1的室性期前收缩。将心电图监测延长至96小时（10例无心脏病患者）未发现更显著的室性期前收缩，但监测时间少于24小时肯定低估了无心脏病患者室性期前收缩的频率。在无心脏病血管造影证据的患者中，36%有复杂室性期前收缩，5.4%有频发室性期前收缩。然而，复杂心律失常在个体中很少见，且一般不伴有频发室性期前收缩。频发复杂心律失常或频发且复杂心律失常，以及提前指数小于1的室性期前收缩，提示有器质性心脏病。
