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充血性心力衰竭(CHF)是恶性室性心律失常(VA)最常见原因之一。近十年来CHF的发病率有所增加,据统计,美国现有CHF病人约达20万,其中35~45%是心源性猝死,动态心电证实,猝死的原因是恶性VA。为了解VA的临床重要性,现将我院1985~1987年114例CHF与VA的关系,临床及心电图资料进行回顾分析报告如下。 1 临床资料 1.1 一般资料:本组病例系我院三年间住院患者经心电图及动态心电图观察证实114例CHF病人,复杂组包括多源室性早搏59例外,非持续性室性心动过速(non—VT)22例(19.3%),单纯组单元偶发VA27例(23.68%)复杂组VA死亡率19例(32.5%)。
Congestive heart failure (CHF) is one of the most common causes of malignant ventricular arrhythmias (VA). The incidence of CHF has increased in the recent ten years. According to statistics, there are about 200,000 CHF patients in the United States currently, of which 35 to 45% are sudden cardiac death. The dynamic ECG confirms that the cause of sudden death is malignant VA. In order to understand the clinical importance of VA, now our hospital from 1985 to 1987, 114 cases of CHF and VA, clinical and ECG data were reviewed and analyzed as follows. 1 Clinical data 1.1 General Information: This group of patients Department of hospital in our hospital for three years by electrocardiogram and Holter monitoring of 114 patients confirmed CHF patients, complex group, including 59 cases of multi-source ventricular premature beats, non-sustained ventricular tachycardia -VT) in 22 cases (19.3%). In simple group unit, 27 cases (32.5%) had VA VA complicated by incidental VA (23.68%).