动态心电图在阵发性心房颤动患者中的应用观察

摘要

目的：分析阵发性心房颤动患者的动态心电图，总结阵发性房颤的主要规律。方法通过动态心电图对60例阵发性心房颤动患者进行24 h监测，并总结阵发性心房颤动的发作时间、发作频率、心率变化及其他心律失常情况。结果冠心病患者更易患上阵发性房颤。阵发性房颤检出率和年龄呈正相关，因此，老年组检出率最高（66.67%），并和其他两组相比差异具有统计学意义（P＜0.05）。另外，阵发性房颤有明显的昼夜节律。在发作过程中，老年患者心室率比较缓慢；发作前后大部分患者伴有其他心律失常。结论引起阵发性心房颤动的因素是心房本身的病变与机体内的调节因素。这说明该病和触发急性心血管事件的相关生理过程类似。%Objective Analysis of dynamic electrocardiogram in 60 patients with paroxysmal atrial fibrillation, the main regularities of paroxysmal atrial fibrillation.Methods Primary atrial fibrillation by Holter against 24h were monitored, and summarized the occurrence of paroxysmal atrial fibrillation duration, seizure frequency, heart rate and other arrhythmia.Results Coronary heart disease patients were more prone to the battle of paroxysmal atrial fibrillation. Paroxysmal atrial fibrillation detection positive rate were related to age, therefore, the elderly group was the highest(66.67%), and other differences between the two groups were statistically significant.In addition, paroxysmal atrial fibrillation had obvious diurnal rhythm. In the attack in the process, elderly patients with ventricular rate was relatively slow; before and after onset of most patients with other arrhythmia.Conclusion Induced factors of paroxysmal atrial fibrillation are moderating factors disease and atrial itself within the body. This shows that the disease and related physiological trigger acute cardiovascular events are similar to the process.