[1]王庚勤),李世锋),井艳),等.老年房性早搏患者桡动脉图积分面积测定[J].郑州大学学报(医学版),2009,(02):412-413.
 WANG Gengqin),LI Shifeng),JING Yan),et al.Pulsographic area estimation of artrial premature beat in aged people[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2009,(02):412-413.
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老年房性早搏患者桡动脉图积分面积测定 ()
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2009年02期
页码:
412-413
栏目:
论著
出版日期:
2009-03-01

文章信息/Info

Title:
Pulsographic area estimation of artrial premature beat in aged people
作者:
王庚勤1)李世锋2)井艳2)张巧玲2)李中健2)#
1)郑州市中医院功能科郑州4500072)郑州大学第二附属医院心电图科郑州450014
Author(s):
WANG Gengqin1)LI Shifeng2)JING Yan2)ZHANG Qiaoling2)LI Zhongjian2)
1)Department of Function, Zhengzhou Traditional Chinese Medical Hospital, Zhengzhou 4500072)Electrocardiogram Laboratory, the Sencond Affiliated Hospital, Zhengzhou University, Zhengzhou 450014
关键词:
老年人房性早搏桡动脉图血流动力学
Keywords:
aged peopleartrial premature beatpulsographichemodynamics
分类号:
R540.4
摘要:
测定老年人房性早搏桡动脉图积分面积,探讨老年人房性早搏对血流动力学的影响。方法:经心电图检查证实为自发老年房性早搏患者48例(提前率>40%、20%~40%、<20%各17、15、16例;左房18例,右房30例)及经食管心房调搏检查人工模拟房性早搏60例次(提前率>40%、20%~40%、<20%各20例次),应用心功能仪及信号处理技术对2组检查者的桡动脉图进行面积积分。并测定自发房性早搏及早搏前、后第1次窦性搏动桡动脉图积分面积。结果:老年人早搏提前率相同情况下,自发、人工房性早搏桡动脉图积分面积比较,差异无统计学意义(P>0.05)。自发、人工房性早搏的桡动脉图积分面积均在提前率>40%时最小,20%~40%时居中,<20%时最大,3者相比差异有统计学意义(P<0.05)。老年人早搏提前率相同时,左房与右房早搏桡动脉图积分面积比较,差异无统计学意义(P>0.05)。老年人房性早搏前第1个窦性心搏的桡动脉图积分面积居中(7123.29±120.08),早搏的桡动脉图积分面积最小(3589.79±2676.98),早搏后第1个窦性心搏的桡动脉图积分面积最大(8569.70±145.02)(P<0.05)。结论:老年人房性早搏对血流动力学的影响与早搏的联律间期改变有关。
Abstract:
To study the relationship between ratios of artrial premature beat(APB) and pulsographic,and explore the effects of APB on the hemodynamics in aged people.Methods:A total of 48 aged patients with arrhythmia and 60 examples with artrial premature beat induced through the technique of transesophageal artrial pacing test were detected by twelvelead surface electrocardiograms. Abovementioned examiners were investigated through cardiac function check apparatus. The pulsographic areas were measured by signal processing technique.Results:When the advanced ratios were same, there were no differences between spontaneous and artificial APB in aged people(P<0.05).The pulsographic areas of APB were smallest when the advanced ratios were>40%, which were middle when the ratios were between 20%~40%, and largest when the ratios were <20%(P<0.05).When the advanced ratios were same, there were no differences between left and right APB(P>0.05).The pulsographic areas of APB were smallest(3 589.79±2 676.98),which were middle when the first sinus beats before APB were appeared(7 123.29±120.08), and largest when the first sinus beats after APB were present(8 569.70±145.02).There were significant different(P<0.05).Conclusion: There is positive correlation between effects of APB on hemodynamics and the changes of coupling interval of APB in aged people.

参考文献/References:

[1]Capucci A, Santarelli A, Boriani G, et al. Atrial premature beats coupling interval determines lone paroxysmal atrial fibrillation onset[J]. Int J Cardiol,1992,36(1):87
[2]时向民,单兆亮,王玉堂,等.不同配对间期房性早搏对心房电生理特性的影响[J].中华心律失常学杂志, 2004,8(5):291
[3]Ramanna H,Hauer RH,Wittkampf FH,et al.Identification of the substrate of at rial vulnerability in patients with idiopathic atrial fibrillation[J].Circulation,2000,101(9):995

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备注/Memo

备注/Memo:
#通讯作者,男,1956年生,硕士,教授,研究方向:心电学,Email:lizhongjian56@126.com
更新日期/Last Update: 2010-05-17