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目的探讨高血压左心室肥厚与心律失常的关系。方法选取2013年4月至2014年8月收治的82例高血压患者作为研究对象,所有患者均行超声心动图检查,根据患者是否存在左心室肥厚将其分为左心室肥厚组和非左心室肥厚组。使用动态心电图检测患者24 h内室性心律失常情况。结果左心室肥厚组患者的室性心律失常(VA)、复杂性室性心律失常(CVA)、持续性心动过速、非持续性心动过速均明显高于非左心室肥厚组,差异均有统计学意义(均P<0.05)。结论高血压左心室肥厚与心率失常密切相关,在治疗高血压疾病的同时,应加强对左心室肥厚的逆转。
Objective To investigate the relationship between hypertensive left ventricular hypertrophy and arrhythmia. Methods Totally 82 hypertensive patients admitted from April 2013 to August 2014 were enrolled in this study. All patients underwent echocardiography and were divided into left ventricular hypertrophy group and non-left ventricular hypertrophy group according to their left ventricular hypertrophy Hypertrophy group. Patients with ambulatory arrhythmia within 24 h were examined using a dynamic electrocardiogram. Results Ventricular arrhythmia (VA), complicated ventricular arrhythmia (CVA), persistent tachycardia and non-sustained tachycardia in patients with left ventricular hypertrophy were significantly higher than those in non-LV hypertrophy group Statistical significance (all P <0.05). Conclusion Hypertensive left ventricular hypertrophy is closely related to arrhythmia. In the treatment of hypertension, reversal of left ventricular hypertrophy should be strengthened.