Negrusz-Kawecka M, Zyśko D
Katedry i Kliniki Kardiologii AM we Wrocławiu.
Pol Merkur Lekarski. 1998 Jun;4(24):309-11.
Paroxysmal atrial fibrillation (PAF) often accompany coronary heart disease (CHD), and primary hypertension (PH). The aim of the study was to evaluate the time of occurrence and duration of paroxysmal atrial fibrillation (PAF) identified from Holter recordings in 63 patients (27 women and 36 men) with CHD (n = 45) and PH (n = 18). No pharmacological treatment was applied before and during the examination. All patients were in sinus rhythm at the start and the end of the recording which lasted for 24 hours. PAF were defined as the occurrence of at least four beats of supraventricular origin, with no visible P or flutter waves. The time of onset, duration, ventricular rate and symptoms of each PAF were noted. There were 219 paroxysms recorded in 63 patients which occurred more often by day than by night, the time of duration was 0.9-240 s. Of the total, 16.3% of episodes with CHD and 9.5% episodes in patients with PH occurred between the hours 8:00-10:00 and between 16:00 and 18:00; 9.1% and 21% respectively. We concluded that in patients with CHD and with H most of the episodes (95%) are silent, they occurred more often during the day activity (particularly between the hours of 8:00 and 10:00 and 16:00-18:00 in both groups). In patients with CHD we observed the third peak of occurrence of PAF between the hours 22:00-0:00.
阵发性心房颤动（PAF）常与冠心病（CHD）和原发性高血压（PH）并存。本研究旨在评估63例患者（27例女性和36例男性）的动态心电图记录中阵发性心房颤动（PAF）的发作时间和持续时间，其中冠心病患者45例，原发性高血压患者18例。检查前和检查期间未进行药物治疗。所有患者在记录开始和结束时均为窦性心律，记录持续24小时。PAF定义为至少出现4次室上性起源的搏动，无可见的P波或扑动波。记录每次PAF的发作时间、持续时间、心室率和症状。63例患者共记录到219次发作，白天发作比夜间更频繁，持续时间为0.9 - 240秒。其中，冠心病患者发作事件的16.3%和原发性高血压患者发作事件的9.5%发生在8:00 - 10:00以及16:00 - 18:00之间；分别为9.1%和21%。我们得出结论，冠心病和原发性高血压患者的大多数发作事件（95%）是无症状的，它们在白天活动期间更频繁发生（两组均尤其在8:00至10:00以及16:00 - 18:00之间）。在冠心病患者中，我们观察到PAF发作的第三个高峰出现在22:00 - 0:00之间。
