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本文报道35例肥厚型心肌病,经超声心动图观察心肌肥厚范围和24小时Holter心电图监护心律失常,研究两者间关系。本组室间隔肥厚16例,广泛心肌肥厚14例,心尖肥厚5例。有40％病例有LownⅠ～Ⅱ级、45％有LownⅢ～Ⅳ级室性心律失常,54.3％有房早,14.3％有房颤和室上性心动过速。广泛心肌肥厚较室间隔和心尖部肥厚病人严重室性心律失常发生率显著增高(13/14对3/21;p<0.005)。梗阻性病人
This article reports 35 cases of hypertrophic cardiomyopathy, echocardiography observed myocardial hypertrophy and 24-hour Holter ECG monitoring arrhythmia, the relationship between the two. Interventricular septal hypertrophy in 16 cases, extensive cardiac hypertrophy in 14 cases, 5 cases of apical hypertrophy. Forty percent of patients had Lown Ⅰ ~ Ⅱ grade, 45% had Lown Ⅲ ~ Ⅳ ventricular arrhythmia, 54.3% had atrial fibrillation and 14.3% had atrial fibrillation and supraventricular tachycardia. The prevalence of severe ventricular arrhythmias was significantly higher in patients with extensive cardiac hypertrophy than in patients with ventricular septal and apical hypertrophy (13/14 vs 3/21; p <0.005). Obstructive patient