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目的观察原发性高血压左心室肥厚患者的心律失常情况。方法对2000年1月-2009年10月收治的251例原发性高血压患者进行超声心动图及Holter检查,比较有左心室肥厚(left ventricular hypertrophy,LVH)及无LVH两组各类心律失常的发生情况。结果 LVH组各种心律失常的发生率与非LVH组比较,差异有统计学意义(P<0.01)。LVH组室性心律失常及复杂性室性心律失常的检出率为83.33%和51.85%,明显高于非LVH组(28.67%和9.09%),差异有统计学意义(P<0.01)。结论高血压并发LVH与心律失常的发生有一定密切关系。
Objective To observe the arrhythmia in patients with essential hypertensive left ventricular hypertrophy. Methods Echocardiography and Holter examination were performed on 251 patients with essential hypertension admitted from January 2000 to October 2009 and compared with two groups of patients with left ventricular hypertrophy (LVH) and without LVH The occurrence of. Results The incidence of arrhythmia in LVH group was significantly higher than that in non-LVH group (P <0.01). The detection rates of ventricular arrhythmia and complicated ventricular arrhythmia in LVH group were 83.33% and 51.85%, respectively, which were significantly higher than those in non-LVH group (28.67% and 9.09%, P <0.01). Conclusions Hypertension complicated with LVH is closely related to the occurrence of arrhythmia.