【摘要】 目的  观察原发性高血压左心室肥厚患者的心律失常情况。 方法  对2000年1月-2009年10月收治的251例原发性高血压患者进行超声心动图及Holter检查，比较有左心室肥厚（left ventricular hypertrophy，LVH）及无LVH两组各类心律失常的发生情况。 结果  LVH组各种心律失常的发生率与非LVH组比较，差异有统计学意义（P lt;0.01）。LVH组室性心律失常及复杂性室性心律失常的检出率为83.33%和51.85%，明显高于非LVH组（28.67%和9.09%），差异有统计学意义（P lt;0.01）。 结论  高血压并发LVH与心律失常的发生有一定密切关系。
【Abstract】 Objective  To analyze the condition of arrhythmia in the patients with primary hypertension combined with left ventricular hypertrophy. Methods  A total of 251 patients with primary hypertension from January 2000 to October 2009 were selected. All the patients had undergone the examinations of ultrasonic cardiogram, 12-lead electrocardiogram and Holter test to compare the incidence of arrhythmia between LVH and non-LVH group. Results  There were significant differences in the incidences of arrhythmia between the two groups (P lt;0.01). Furthermore, the incidence of ventricular arrhythmias and complexity of ventricular arrhythmias of the patients in LVH group was 83.33% and 51.85% respectively, significantly higher than that in non-LVH group (28.67% and 9.09%; P lt;0.01). Conclusion  Primary hypertension combined with LVH is relevant to arrhythmias.

Citation： HE Yali. Arrhythmia in the Patients with Primary Hypertension Combined with Left Ventricular Hypertrophy. West China Medical Journal, 2010, 25(10): 1786-1788. doi: Copy