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目的探讨阵发性房颤(PAF)的心电触发因素并了解动态心电图在阵发性房颤的诊断和治疗中的价值。方法某院2008年1月～2011年1月对1189例病人进行动态心电图检测,诊断房颤(AF)及PAF。分析房颤的心电始动因素和房颤的起源部位。结果阵发性房颤的心电触发因素以房性早搏最多见,占46.87%。短阵房速触发阵发性房颤房早的起源部位以左房上最多见。结论动态心电图可准确显示房性早搏,确定阵发性房颤的心电始动因素及其部位,可作为对临床治疗方案的参考,且具有安全、无创的优点,具有重要的诊断价值。
Objective To investigate the electrocardiographic triggers of paroxysmal atrial fibrillation (PAF) and to investigate the value of dynamic electrocardiogram in the diagnosis and treatment of paroxysmal atrial fibrillation. Methods From January 2008 to January 2011, 1189 patients underwent dynamic electrocardiogram detection in a hospital to diagnose atrial fibrillation (AF) and PAF. Analysis of atrial fibrillation of the starting factor and the origin of atrial fibrillation. Results The triggers of paroxysmal atrial fibrillation were the most frequent in atrial premature beat, accounting for 46.87%. Abrupt onset of paroxysmal atrial fibrillation early part of the origin of the left atrium to see the most common. Conclusions Holter monitoring can accurately display atrial premature beats and determine the initiating factors and location of electrocardiogram in patients with paroxysmal atrial fibrillation. It can be used as a reference for clinical treatment programs and has the advantages of safety and noninvasive diagnosis, which is of great diagnostic value.