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目的探讨60例住院患者心房颤动的发病原因及动态心电图特点。方法回顾性分析60例器质性心脏病伴阵发性心房颤动住院患者的临床资料及动态心电图结果。结果 60例患者中高血压41例(68%),冠心病25例(42%);阵发性心房颤动发生的阵数白天(6:00～20:00)与夜间(20:00～6:00),差别无显著意义(p=0.360);房颤发生时,在正常窦性心律与窦性心动过速之间差别无显著意义(p=0.135)。结论阵发性心房颤动的主要病因是原发病和冠心病等。积极防治高血压是预防心房颤动的主要措施之一。
Objective To investigate the etiology and dynamic characteristics of atrial fibrillation in 60 inpatients. Methods A retrospective analysis of 60 patients with organic heart disease with paroxysmal atrial fibrillation hospitalized patients with clinical data and dynamic electrocardiogram results. Results Sixty patients had hypertension in 41 cases (68%) and coronary heart disease in 25 cases (42%). The number of paroxysmal atrial fibrillation was between daytime (6:00 ~ 20:00) and nighttime (20:00 ~ 00). The difference was not significant (p = 0.360). There was no significant difference between normal sinus rhythm and sinus tachycardia when atrial fibrillation occurred (p = 0.135). Conclusions The main causes of paroxysmal atrial fibrillation are primary disease and coronary heart disease. Active prevention and treatment of hypertension is one of the main measures to prevent atrial fibrillation.