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。%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.
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