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自发性短阵心悸是常遇到的病人主诉。它是器质性抑或功能性心律失常,是临床上值得探讨的问题。我科1986年12月27日～1990年6月29日,对521例病人进行了24小时心电监护观察。1 材料与方法1.1 观察对象 521例均有自发性短阵心悸的主诉。无心血管疾病证据者326例,监护发现81例(占24.8％,男48例,女33例,年龄17～76岁,平均47±14岁)。有器质性心血管疾病者195例(在原有症状基础上,尚有自发性短阵心悸),监护发现65例(占33.3％,男41例,女24例,年龄23～82岁,平均55±15岁)。无心血管病的根据是:①无心血管病史;②心脏物理检查正常;③监护前检查318/326例(97.5％)心电图正常;298/326例(91.4％)胸片正常;其余病人原心电图及胸片均正常。
Spontaneous heart palpitations is often encountered in patients complained. It is organic or functional arrhythmia, is a clinical issue worth exploring. Our department December 27, 1986 ~ June 29, 1990, 521 patients were 24-hour ECG monitoring. 1 Materials and Methods 1.1 The observed object 521 cases have spontaneous short heart palpitations of the chief complaint. There were 326 cases without evidence of cardiovascular disease and 81 cases were found with custody (24.8%, 48 males and 33 females, aged 17-76 years, mean 47 ± 14 years). 195 patients with organic cardiovascular disease (based on the original symptoms, there are spontaneous shortness of heart palpitations), custody found that 65 cases (33.3%, 41 males and 24 females, aged 23 to 82 years, mean 55 ± 15 years old). No cardiovascular disease based on: ① no history of cardiovascular disease; ② cardiac physical examination was normal; ③ pre-guard examination 318/326 cases (97.5%) normal electrocardiogram; 298/326 cases (91.4%) chest X-ray normal; Chest radiographs are normal.