中国循环杂志
中國循環雜誌
중국순배잡지
CHINESE CIRCULATION JOURNAL
2014年
7期
529-531
,共3页
徐金义%邱妍妍%陈琼%王庆义%王瑶函
徐金義%邱妍妍%陳瓊%王慶義%王瑤函
서금의%구연연%진경%왕경의%왕요함
动态心电图%散点图%B线斜率%窦性心律%长RR间期
動態心電圖%散點圖%B線斜率%竇性心律%長RR間期
동태심전도%산점도%B선사솔%두성심률%장RR간기
Ambulatory electrocardiogram%RR-Lorenz plot%B line slope%Sinus rhythm%Long RR interval
目的:探讨RR-Lorenz心电散点图(RR-LP)分析窦性心律伴长RR间期的优越性。<br> 方法:根据动态心电图结果选择窦性心律伴长RR间期患者308例,按造成长RR间期的机制不同分为:窦性心动过缓伴不齐63例(窦性心动过缓伴不齐组),反复发作的一过性窦性停搏16例(一过性窦性停搏组),反复发作的一过性二度Ⅱ型窦房阻滞14例(一过性二度Ⅱ型窦房阻滞组),反复发作的一过性二度房室阻滞47例(一过性二度房室阻滞组),反复发作的一过性房性早搏未下传28例(一过性房性早搏未下传组),房性早搏72例(房性早搏组),室性早搏68例(室性早搏组)。对308例患者动态心电图显示窦性心律伴RR间期大于1500 ms的RR-LP进行回顾性分析。<br> 结果:①窦性心动过缓伴不齐组RR-LP显示横、纵轴以1500 ms为原点形成特定的一分布区域图形,B线斜率1(45°)。②反复发生的一过性窦性停搏组、一过性二度Ⅱ型窦房阻滞组、一过性二度房室阻滞组、一过性房性早搏未下传组呈特殊的三分布区域;B线斜率、倾斜角分别为0.51±0.01、(23.04±0.50)°;0.6、27°;0.57±0.21、(25.69±9.59)°;0.50±0.01、(22.59±0.54)°。③早搏显示特殊四分布区域;房性早搏B线斜率0.38±0.12,倾斜角(17.06±5.22)°;室性早搏B线斜率0.07±0.05,倾斜角(3.02±2.39)°。<br> 结论:窦性心律伴不同机制形成的长RR间期RR-LP有特定的形态和分布特征,其在一个平面通过全部RR间期发现局部异常,为动态心电图反复发生短程长RR间期提供了一种辅助鉴别诊断方法。
目的:探討RR-Lorenz心電散點圖(RR-LP)分析竇性心律伴長RR間期的優越性。<br> 方法:根據動態心電圖結果選擇竇性心律伴長RR間期患者308例,按造成長RR間期的機製不同分為:竇性心動過緩伴不齊63例(竇性心動過緩伴不齊組),反複髮作的一過性竇性停搏16例(一過性竇性停搏組),反複髮作的一過性二度Ⅱ型竇房阻滯14例(一過性二度Ⅱ型竇房阻滯組),反複髮作的一過性二度房室阻滯47例(一過性二度房室阻滯組),反複髮作的一過性房性早搏未下傳28例(一過性房性早搏未下傳組),房性早搏72例(房性早搏組),室性早搏68例(室性早搏組)。對308例患者動態心電圖顯示竇性心律伴RR間期大于1500 ms的RR-LP進行迴顧性分析。<br> 結果:①竇性心動過緩伴不齊組RR-LP顯示橫、縱軸以1500 ms為原點形成特定的一分佈區域圖形,B線斜率1(45°)。②反複髮生的一過性竇性停搏組、一過性二度Ⅱ型竇房阻滯組、一過性二度房室阻滯組、一過性房性早搏未下傳組呈特殊的三分佈區域;B線斜率、傾斜角分彆為0.51±0.01、(23.04±0.50)°;0.6、27°;0.57±0.21、(25.69±9.59)°;0.50±0.01、(22.59±0.54)°。③早搏顯示特殊四分佈區域;房性早搏B線斜率0.38±0.12,傾斜角(17.06±5.22)°;室性早搏B線斜率0.07±0.05,傾斜角(3.02±2.39)°。<br> 結論:竇性心律伴不同機製形成的長RR間期RR-LP有特定的形態和分佈特徵,其在一箇平麵通過全部RR間期髮現跼部異常,為動態心電圖反複髮生短程長RR間期提供瞭一種輔助鑒彆診斷方法。
목적:탐토RR-Lorenz심전산점도(RR-LP)분석두성심률반장RR간기적우월성。<br> 방법:근거동태심전도결과선택두성심률반장RR간기환자308례,안조성장RR간기적궤제불동분위:두성심동과완반불제63례(두성심동과완반불제조),반복발작적일과성두성정박16례(일과성두성정박조),반복발작적일과성이도Ⅱ형두방조체14례(일과성이도Ⅱ형두방조체조),반복발작적일과성이도방실조체47례(일과성이도방실조체조),반복발작적일과성방성조박미하전28례(일과성방성조박미하전조),방성조박72례(방성조박조),실성조박68례(실성조박조)。대308례환자동태심전도현시두성심률반RR간기대우1500 ms적RR-LP진행회고성분석。<br> 결과:①두성심동과완반불제조RR-LP현시횡、종축이1500 ms위원점형성특정적일분포구역도형,B선사솔1(45°)。②반복발생적일과성두성정박조、일과성이도Ⅱ형두방조체조、일과성이도방실조체조、일과성방성조박미하전조정특수적삼분포구역;B선사솔、경사각분별위0.51±0.01、(23.04±0.50)°;0.6、27°;0.57±0.21、(25.69±9.59)°;0.50±0.01、(22.59±0.54)°。③조박현시특수사분포구역;방성조박B선사솔0.38±0.12,경사각(17.06±5.22)°;실성조박B선사솔0.07±0.05,경사각(3.02±2.39)°。<br> 결론:두성심률반불동궤제형성적장RR간기RR-LP유특정적형태화분포특정,기재일개평면통과전부RR간기발현국부이상,위동태심전도반복발생단정장RR간기제공료일충보조감별진단방법。
Objective: To explore the advantage of RR-Lorenz plot (RR-LP) in analyzing the patients of sinus rhythm with long RR interval. <br> Methods: A total of 308 RR-LP patients with long RR interval were retrospectively studied. The patients were divided into 7 groups according to the type of long RR intervals. ① Sinus bradycardia with arrhythmia group, n=63,②Repeated transient sinus arrest group, n=16, ③Ⅱ° sino-atrial block group, n=14, ④Ⅱ° atrial ventricular block (Ⅱ° AVB) group, n=47, ⑤ Un-passed atrial premature beats (APB) group, n=28, ⑥ Atrial premature beats group, n=72 and ⑦ Premature ventricular beats group, n=68. We analyzed the patients of RR interval greater than 1500 ms with ambulatory electrocardiogram record. <br> Results: ①RR-LP of sinus bradycardia with arrhythmia group showed a single distributing area with 1500 ms for the origin of transverse and longitudinal axis with B line slope at 1, tilt angle of 45°.②RR-LP of repeated transient sinus arrest,Ⅱ° sino-atrial block,Ⅱ° AVB and APB groups showed special four distributing areas with B line slope at (0.51 ± 0.01), tilt angle of (23.04 ± 0.50) °, B line slope at 0.6, tilt angle of (27°), B line slope at (0.57 ± 0.21), tilt angle of (25.69 ± 9.59)° and B line slope at (0.50 ± 0.01), tilt angle of (22.59 ± 0.54) ° respectively.③RR-LP of premature beats groups showed special four regional distributing areas, B line slope for atrial premature beats was at (0.38 ± 0.12), tilt angle of (17.06 ± 5.22) ° and B line slope for ventricular premature beats was at (0.07 ± 0.05), tilt angle of (3.02 ± 2.39) °. <br> Conclusion: RR-LP in patients of sinus rhythm with long RR interval had speciifc morphology and distribution features, the local abnormality could be found in a plane via all RR intervals which provided a differential diagnosis for repeated occurrence of short RR interval.