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目地探讨60例患者动态心电图检测房颤伴长R-R间期的临床意义。方法用动态心电图仪24小时记录60例患者心房颤动伴长R-R间期的临床资料进行分析,统计长R-R间期发生总次数及昼夜发生频率的相关性。结果60例患者发生1.5秒以上的长R-R间期共1286次,其中夜间966次,占75%,白天320次,占25%。发生频率夜间明显高于白天。结论动态心电图诊断心房颤动并长R-R间期时,应检测长R-R间期发生的频率,发生的时间,结合临床和病史,除外迷走神经作用及病窦可考虑心房颤动合并病理性房室传导阻滞,临床应采取积极有效的措施,必要时行人工起搏器及早给予治疗。
Objective To investigate the clinical significance of ambulatory electrocardiogram in 60 patients with atrial fibrillation with long R-R interval. Methods The clinical data of 60 patients with atrial fibrillation with long R-R interval recorded by Holter monitor 24 hours were analyzed. The correlation between the total number of R-R interval and the frequency of diurnal frequency was analyzed. Results A total of 1286 long-R-R intervals of 1.5 seconds occurred in 60 patients, of which 966 were at night, accounting for 75%, 320 times during the day, accounting for 25%. The frequency of occurrence was significantly higher during the night than during the day. Conclusions Holter monitoring of atrial fibrillation and long RR interval should be detected long RR interval of occurrence, time of occurrence, combined with clinical and medical history, with the exception of the vagus nerve and sick sinus may consider atrial fibrillation combined with pathological atrioventricular block , Clinical should take active and effective measures, if necessary, artificial pacemaker to give treatment as soon as possible.