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对65例心肌梗塞(MI)病人心室晚电位(VLP)、Holter监测的室性心律失常(VA)、有无室壁瘤及心胸比大小进行分析,发现室壁瘤形成、心脏增大的MI患者,其VLP阳性率高,而VLP与Holter监测到的VA之间相关性较差,故推测Holter监测作为预测心源性猝死(SCD)的手段,其临床价值较小,3例院内SCD的资料表明,MI后VLP阳性、心室功能差、有室壁瘤形成者SCD发生率高,这些病人应积极预防及避免应用增加心肌应激性的药物。
65 patients with myocardial infarction (MI) patients with ventricular late potential (VLP), Holter monitoring of ventricular arrhythmias (VA), with or without aneurysm and chest size ratio was analyzed and found that the formation of aneurysms, cardiac MI Patients, the positive rate of VLP VLP, Holter and VA monitoring of the poor correlation between, so speculation Holter monitoring as a means of predicting sudden cardiac death (SCD), the clinical value of small, 3 cases of intracranial SCD Data show that VL VLP positive after MI, ventricular dysfunction, the incidence of aneurysm SCD high incidence of these patients should actively prevent and avoid the use of drugs to increase myocardial stress.