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目的探索与讨论高血压病患者左心室肥厚与心律失常的关系及可能的原因。方法将伴左心室肥厚及不伴左心室肥厚的95例原发性高血压患者进行了分析,使用M型彩色多普勒超声探测仪和动态心电图进行检测,比较及分析两组患者心律失常的比率。结果左室肥厚组室性心律失常发生的比率高于非左室肥厚组,两组比较有统计学差异(P<0.05)。结论高血压伴左心室肥厚患者易并发室性心律失常,在室性心律失常中尤易并发复杂性心律失常。
Objective To explore and discuss the relationship between left ventricular hypertrophy and arrhythmia in hypertensive patients and possible causes. Methods 95 patients with left ventricular hypertrophy and without left ventricular hypertrophy were analyzed in patients with essential hypertension using M-mode color Doppler ultrasound detector and Holter monitoring to compare and analyze the two groups of patients with arrhythmia ratio. Results The incidence of ventricular arrhythmia in left ventricular hypertrophy group was significantly higher than that in non-LV hypertrophy group (P <0.05). Conclusions Patients with hypertension and left ventricular hypertrophy are often complicated by ventricular arrhythmia, especially complicated with arrhythmia in ventricular arrhythmias.