中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2012年
1期
21-24
,共4页
黄峥嵘%周洁琼%李卫华%谢强%吴荣%唐蓉%马欲晓%万晓群%郑武扬%张紫冠
黃崢嶸%週潔瓊%李衛華%謝彊%吳榮%唐蓉%馬欲曉%萬曉群%鄭武颺%張紫冠
황쟁영%주길경%리위화%사강%오영%당용%마욕효%만효군%정무양%장자관
Brugada综合征%前瞻性研究%心电描技术%心律失常
Brugada綜閤徵%前瞻性研究%心電描技術%心律失常
Brugada종합정%전첨성연구%심전묘기술%심률실상
Brugada syndrome%Prospective study%Electrocardiography%Arrhythmias
目的 探讨心室晚电位(LP)预测Brugada综合征患者发生心律失常事件的价值.方法 43例Brugada综合征患者分为有症状组(24例)和无症状组(19例).采用信号平均心电图(SAECG)检测所有患者的心室晚电位；动态随访(33.8±9.0)个月,观察研究人群中心律失常事件的发生情况. 结果 有症状组中有22例(91.7％)患者晚电位阳性,无症状组中有7例(36.8％)晚电位为阳性.LP阳性的Brugada综合征患者心律失常事件发生率为72.4％,LP阴性的Brugada综合征患者心律失常事件发生率为14.3％,LP预测心律失常事件发生的相对危险度(RR)为5.1,95％可信区间(CI)为[1.4,18.6](P=0.002). 结论 心室晚电位可以作为Brugada综合征患者发生心律失常事件的有效预测因子之一.
目的 探討心室晚電位(LP)預測Brugada綜閤徵患者髮生心律失常事件的價值.方法 43例Brugada綜閤徵患者分為有癥狀組(24例)和無癥狀組(19例).採用信號平均心電圖(SAECG)檢測所有患者的心室晚電位；動態隨訪(33.8±9.0)箇月,觀察研究人群中心律失常事件的髮生情況. 結果 有癥狀組中有22例(91.7％)患者晚電位暘性,無癥狀組中有7例(36.8％)晚電位為暘性.LP暘性的Brugada綜閤徵患者心律失常事件髮生率為72.4％,LP陰性的Brugada綜閤徵患者心律失常事件髮生率為14.3％,LP預測心律失常事件髮生的相對危險度(RR)為5.1,95％可信區間(CI)為[1.4,18.6](P=0.002). 結論 心室晚電位可以作為Brugada綜閤徵患者髮生心律失常事件的有效預測因子之一.
목적 탐토심실만전위(LP)예측Brugada종합정환자발생심률실상사건적개치.방법 43례Brugada종합정환자분위유증상조(24례)화무증상조(19례).채용신호평균심전도(SAECG)검측소유환자적심실만전위；동태수방(33.8±9.0)개월,관찰연구인군중심률실상사건적발생정황. 결과 유증상조중유22례(91.7％)환자만전위양성,무증상조중유7례(36.8％)만전위위양성.LP양성적Brugada종합정환자심률실상사건발생솔위72.4％,LP음성적Brugada종합정환자심률실상사건발생솔위14.3％,LP예측심률실상사건발생적상대위험도(RR)위5.1,95％가신구간(CI)위[1.4,18.6](P=0.002). 결론 심실만전위가이작위Brugada종합정환자발생심률실상사건적유효예측인자지일.
Objective To explore the predictive value of ventricle late potential (LP) for arrhythmic events in the patients with Brugada syndrome. Methods Totally 43 patients with Brugada syndrome were divided into symptom group (n=24) and asymptom group (n=19).Signalaveraged electrocardiography(SAECG) was performed to analyze characteristics of LP in all subjects.The occurrence of arrhythmic events was observed in all patients during the dynamic follow-up for (33.8±9.0) months. Results There were 22 cases (91.7％) and 7 cases (36.8％) with LP positive in patients with symptom and asymptom,respectively.The incidences of arrhythmic events were 72.4％ in Brugada syndrome patients with positive LP and 14.3％ in patients with negative LP,respectively.The relative risk (RR,95％ CI) for LP prediction of the arrhythmic events was [5.1,(1.4～ 18.6)] (P =0.002). Conclusions LP may be one of effective factors predicting arrhythmic events in the patients with Brugada syndrome.
