CAJ | 학술논문

目的：探讨原发性高血压(EH)心律失常的预测因素。方法：采用超声心动图和动态心电图观察EH患者152例，按左室肥厚、左房增大、心肌缺血、年龄、病程分类，并比较各类与心律失常关系。结果：①EH左室肥厚组室性心律失常发生率高于左室正常组，尤其是Lown 3级以上更为显著(P＜0.01)；②左房增大组阵发性房速或房颤发生率高于左房正常组(P＜0.05)；③心肌缺血组易导致严重室性心律失常；④年龄大及病程长易发生室性心律失常，尤其是严重室性心律失常。结论：左室肥厚、左房增大、心肌缺血、左室舒张功能减退是EH心律失常的预测因素。
목적：탐토원발성고혈압(EH)심률실상적예측인소。방법：채용초성심동도화동태심전도관찰EH환자152례，안좌실비후、좌방증대、심기결혈、년령、병정분류，병비교각류여심률실상관계。결과：①EH좌실비후조실성심률실상발생솔고우좌실정상조，우기시Lown 3급이상경위현저(P＜0.01)；②좌방증대조진발성방속혹방전발생솔고우좌방정상조(P＜0.05)；③심기결혈조역도치엄중실성심률실상；④년령대급병정장역발생실성심률실상，우기시엄중실성심률실상。결론：좌실비후、좌방증대、심기결혈、좌실서장공능감퇴시EH심률실상적예측인소。
Objective: To investigate the predictor of cardiac arrythmia for essential hypertension (EH). Methods: One hundred and fifty-five EH patients received observation of Holter electrocardiogram and echocardiogram. Results: ① The incidence of ventricular arrhythmia (VA) in EH patients with LVH group was higher than that in normal group; ② The incidence of paroxysmal atrial tachycardia or atrial fibrillation in left atrial enlargement group were higher than normal group; ③ The serious VA occurred easily in myocardial ischemia group; ④ The incidence of VA was significantly higher in patients of older and long-term of illness, especially with malignant VA. Conclusion: Left ventricular hypertrophy、 myocardial ischemia、 left atrial enlargement and the reduction of left ventricular function can be the predictor of the cardiac arrhythmia for EH.