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[心肌梗死后心律失常的发病率及特征]

[Incidence and characteristics of cardiac rhythm disorders after myocardial infarct].

作者信息

Mazur N A, Bulin V A, Metelitsa V I

出版信息

Kardiologiia. 1976 Apr;16(4):36-42.

PMID:67235
Abstract

In the course of 1 year 130 patients were examined who had survived myocardial infarction and were alive 2 months after the onset of the disease and were included into the Myocardial Infarction Registry. After 2,3,6,9 and 12 months ECG of various duration was recorded. The prolongation of ECG recording permits to give a more precise characteristics of the incidence and nature of the rhythm disorders observed in chronic ischaemic heart disease patients. Repeated heart rhythm examinations at rest during 1 hour, or during physical exercises (bicycle test) permitted to reveal rhythm disorders in 72.2--66.7% of the patients, and among them ventricular extrasystole in 62.6--66.7% of those examined, respectively. The appearance of ventricular extrasystoles correlates with the state of the patients surviving myocardial infarction A higher incidence of ventricular extrasystoles is observed in pateints with distinct tecg changes, with angina pectoris and elevated blood pressure (larger than or equal to140/90mm Hg).

摘要

在1年的时间里,对130例心肌梗死幸存者进行了检查,这些患者在疾病发作后2个月仍然存活,并被纳入心肌梗死登记处。在2、3、6、9和12个月时记录了不同时长的心电图。延长心电图记录时间有助于更精确地描述慢性缺血性心脏病患者心律失常的发生率和性质。在静息状态下进行1小时或在体育锻炼(自行车试验)期间重复进行心律检查,结果显示72.2%至66.7%的患者存在心律失常,其中分别有62.6%至66.7%的受检者出现室性期前收缩。室性期前收缩的出现与心肌梗死存活患者的病情相关。在心电图有明显改变、患有心绞痛和血压升高(大于或等于140/90mmHg)的患者中,室性期前收缩的发生率更高。

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