CAJ | 학술논문

目的：探讨原发性高血压病患者心脏结构改变与心律失常的关系。方法：采用24h动态心电图和超声心动图检测142例符合WHO原发性高血压病诊断标准的病人，分析其心律失常与左室肥厚(LVH)、心肌缺血及左房增大(LAH)的关系。结果：142例高血压病人检出LVH68例，占47.9%；检出LAH98例，占69%。左房增大发生率显著高于左室肥厚发生率。检出室性心律失常92例，占64.7%；检出房性心律失常116例，占81.7%。房性心律失常发生率显著高于室性心律失常发生率。左室肥厚患者、心肌缺血患者室性心律失常发生率均显著高于无左室肥厚及ST-T无改变者。结论：高血压病心律失常与左室肥厚、心肌缺血及左房增大密切相关。
목적：탐토원발성고혈압병환자심장결구개변여심률실상적관계。방법：채용24h동태심전도화초성심동도검측142례부합WHO원발성고혈압병진단표준적병인，분석기심률실상여좌실비후(LVH)、심기결혈급좌방증대(LAH)적관계。결과：142례고혈압병인검출LVH68례，점47.9%；검출LAH98례，점69%。좌방증대발생솔현저고우좌실비후발생솔。검출실성심률실상92례，점64.7%；검출방성심률실상116례，점81.7%。방성심률실상발생솔현저고우실성심률실상발생솔。좌실비후환자、심기결혈환자실성심률실상발생솔균현저고우무좌실비후급ST-T무개변자。결론：고혈압병심률실상여좌실비후、심기결혈급좌방증대밀절상관。
Objective　To study the relations between changes of cardiac structure and arrhythmia in patients with essential hypertension.Method　To examine 142 patients with essential hypertension by 24 hour dynamic electro-cardiogram and echocardiogram and to analyze the relations between arrhythmia and LVH,myocardial ischemia,LAH.Results　Out of the 142 patients,68(47.9%)were found to suffer LVH;98(69%)were found to suffer LAH.The incidence rate of LAH is obviously higer than LVH.Out of the 142 patients,92(64.7%)were found to suffer ventricular arrhythmia;116(81.7%)were found to suffer atrial arrhythmia.The incidence rate of atrial arrhythmia is obviously higer than ventricular arrhythmia.The incidence rate of ventricular arrhythmia among patients suffering with LVH or change of ST-T is evidently higer than those without LVH or change of ST-T.Conclusion　The incidence rate of hypertensive arrhythmia is close related to LVH,myocardial ischemia and LAH.