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Richard E.Brashear 心输出量减少对通气—血流比率值降低的慢性阻塞性肺病(慢阻肺)患者的危害严重,多源性房性心动过速在慢阻肺患者中的病死率高达80％。因此,慢阻肺患者的心律失常应引起临床重视。 一、慢阻肺患者心律失常的发病情况 慢阻肺患者心律失常的发病率及发病类型有很大差别。有人报告25例不卧床的稳定性慢阻肺,其中仅5例经标准心电图检出心律失常,但有20例在10小时心电图连续监护中被检出;在住院的慢阻肺患者中,经常规标准心电图检出心律失常者仅31％,而经连续心电图监护检出的心律失常则达91％。由此可见,连续心电图监护的心律失常检出率至少比常规标准心电图高三倍。
Richard E. Brahear Cardiac output reduction is detrimental to patients with chronic obstructive pulmonary disease (COPD) with reduced ventilation-to-blood flow ratio, and the mortality rate of multi-source atrial tachycardia in COPD patients is as high as 80 %. Therefore, patients with chronic obstructive pulmonary arrhythmia should cause clinical attention. First, the incidence of arrhythmia in patients with COPD The incidence and incidence of arrhythmia in COPD patients are very different. It was reported in 25 cases of bedridden stable COPD, of which only 5 cases of arrhythmia detected by standard ECG, but 20 cases were detected in the 10-hour ECG continuous monitoring; in hospitalized patients with chronic obstructive pulmonary disease, Routine cardiac arrhythmia was detected in 31% of patients with normal standard electrocardiogram, whereas arrhythmia was detected in 91% of patients with continuous electrocardiogram monitoring. Thus, continuous ECG monitoring of arrhythmia detection rate at least three times higher than the conventional standard ECG.