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通过短期观察信号平均心电图(SA-ECG)的重复性及比较心室晚电位(VLP)阳性患者服药前后SA-ECG指标变化,以了解长效二氢奎尼丁(sérécor)、普罗帕酮、美托洛尔对VLP阳性患者SA-ECG指标的影响,及是否具有逆转VLP的作用,结果表明:(1)SA-ECG各定量指标的重复性良好,VLP阳性组自然转阴率仅为7.7%。(2)serecor不能逆转VLP,而具有选择性延长QRS终末部40μV的低振幅信号持续时间(LAS)的作用。(3)普罗帕酮不能逆转VLP,仅延长滤波后QRS-时限(QRS-D)。(4)美托洛尔显著逆转VLP,使QRS-D、LAS缩短,综合导联滤波的QRS终末40ms处综合向量电压(RMS_(40))增加。讨论了三种抗心律失常药物对VLP影响的不同效应。
By observing the repeatability of the signal-averaged electrocardiogram (SA-ECG) and comparing the change of SA-ECG before and after taking the drug in patients with positive ventricular late potentials (VLP) to find out the effect of sérécor, propafenone, The results showed that: (1) The reproducibility of each quantitative index of SA-ECG was good, and the natural conversion rate of VLP-positive group was only 7. 7%. (2) Serecor can not reverse VLP and has the effect of selectively prolonging the low amplitude signal duration (LAS) of 40 μV of the QRS terminal. (3) Propafenone did not reverse VLP and only prolonged QRS-time after filtering (QRS-D). (4) Metoprolol significantly reversed VLP and shortened QRS-D and LAS, and the integrated vector voltage (RMS_ (40)) increased at 40 ms after filtering with integrated lead filter. The different effects of three antiarrhythmic drugs on VLPs were discussed.