高血压患者室性心律失常的昼夜变异

Circadian Variation of Ventricular Arrhthmias in Hypertensive Patients

  • 摘要: 对156例原发性高血压患者行24h动态心电图检测,昼夜时间划分6h为一间期。结果发现104例患者24h室早≥100次,各间期的室早发生率分别为40%,26%,19%和15%。6Am~12Am室性心律失常发生的频度和高危级别显著高于其他间期。提示上午猝死发生率增高可能与频发室性心律失常有关。

     

    Abstract: This study examined the circadian variation of ventricular arrhythmias in hypertensive patients.104 patients with hypertension underwent continuous 24 hour Holter monitoring and ventricular arrhyhythmias were classified by 6-hour time intervals.The results showed that the frequency of ventricular arrhythmias during the 4 different time intervals was 40%,26%,19%,and 15%.A higher prevalence of complex or frequent ventricular arrhythmias was found in 6AM~12AM interval than in the other intervals.It is speculated that the morning increase in sudden cardiac death might be related to the increase in frequency of ventricular arrhythmias.

     

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