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心房颤动是临床工作中最常见的快速型心律失常,易对患者造成较大的危害。由于房颤时P波消失,R-R间期绝对不齐,因此在动态心电图监测中常发现心房颤动伴长R-R间期(R-R间期≥1.5秒),逸搏及逸搏心律。以往多认为是房颤合并Ⅱ度、高度甚至是Ⅲ房室传导阻滞。现对我院2005~2009年共收治的260例房颤患者中的50例持续性心房颤动伴长R-R间期的24小时动态心电图进行分析,以探讨心房颤动伴长R-R间期的诊断价值及临床意义。
Atrial fibrillation is the most common type of tachyarrhythmia in clinical practice, which can cause great harm to patients. Because of the disappearance of P wave in AF, the R-R interval is absolutely not homogeneous. Therefore, atrial fibrillation with long R-R interval (R-R interval> 1.5 seconds), escape and escape rhythm is often found in Holter monitoring. In the past that more than atrial fibrillation is Ⅱ degree, height and even atrioventricular block. Now in our hospital from 2005 to 2009 were treated 260 cases of atrial fibrillation in 50 cases of persistent atrial fibrillation with long RR interval 24-hour Holter analysis to explore the value of atrial fibrillation with long RR interval diagnostic value and Clinical significance.