[1]王 微.致心律失常右室心肌病的临床和心电图特点分析[J].医学信息,2019,32(16):93-94.[doi:10.3969/j.issn.1006-1959.2019.16.028]
　WANG Wei.Clinical and Electrocardiographic Characteristics of Arrhythmogenic Right Ventricular Cardiomyopathy[J].Journal of Medical Information,2019,32(16):93-94.[doi:10.3969/j.issn.1006-1959.2019.16.028]
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致心律失常右室心肌病的临床和心电图特点分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年16期
页码:
93-94
栏目:
临床研究
出版日期:
2019-08-15

文章信息/Info

Title:
Clinical and Electrocardiographic Characteristics of Arrhythmogenic Right Ventricular Cardiomyopathy
文章编号:
1006-1959（2019）16-0093-02
作者:
王 微
佳木斯市中医院心电室，黑龙江 佳木斯 154004
Author(s):
WANG Wei
Electrocardiogram Room,Jiamusi Hospital of Traditional Chinese Medicine,Jiamusi 154004,Heilongjiang,China
关键词:
心律失常; 右室心肌病; 心电图
Keywords:
Key words：Arrhythmia; Right ventricular cardiomyopathy; Electrocardiogram
分类号:
R542.2
DOI:
10.3969/j.issn.1006-1959.2019.16.028
文献标志码:
A
摘要:
目的 分析致心律失常右室心肌病（ARVC）患者临床特征与心电图的特点。方法 选取2016年1月~2019年1月在我院治疗的52例ATVC患者临床资料为研究对象，分析其临床及心电图特点。结果 52例患者中18例室性心律失常，占34.61%；右心力衰竭9例，占17.30%；无症状者25例，占48.07%；无症状占比高于室性心律失常和右心力衰竭，差异有统计学意义（P＜0.05）。26例伴有晕厥发作史，占50.00%；22例电图检查出现V1~V3导联Epsilon波，占42.31%，20例在右侧胸导联发现T波倒置，占38.46%；V1~V3导联QRS1值为0.1~0.22 s，平均（0.13±0.03）s，V4~V6导联QRS2值0.08~0.18 s，平均（0.11±0.02）s，QRS1平均值高于QRS2平均值，统计学意义显著（P＜0.01）；其中QRS1≥0.13s者19例，占35.53%（P＞0.05）；QRS1/ QRS2≥1.2者32例，占61.53%（P＞0.05）；20例V1~V3导联出现T波倒置，占38.46%，与未出T波倒置者比较，差异有统计学意义（P＜0.05），其中8例肢体导联低电压，6例完全性的右束支传导阻滞，2例室内阻滞，2例类右束支阻滞，2例左后分支阻滞，2例左前分支阻滞，2例aVF导联出现T波电交替现象。结论 ARVC患者主要表现为无症状和心律失常型，其心电图检测主要表现为右胸导联与Epsilon波QRS间期的延长。熟悉了解ARVC患者心电图特点，对临床诊治ARVC具有重要的意义。
Abstract:
Abstract：Objective To analyze the clinical features and electrocardiographic characteristics of patients with arrhythmogenic right ventricular cardiomyopathy (ARVC).Methods The clinical data of 52 patients with ATVC who were treated in our hospital from January 2016 to January 2019 were selected as subjects. The clinical and electrocardiographic characteristics were analyzed.Results Of the 52 patients, 18 had ventricular arrhythmia, accounting for 34.61%; 9 patients with right heart failure, accounting for 17.30%; 25 patients with asymptomatic, accounting for 48.07%; the asymptomatic proportion was higher than ventricular arrhythmia and right heart failure,the difference was statistically significant (P<0.05). 26 cases with history of syncope, accounting for 50.00%; 22 cases with V1~V3 lead Epsilon wave, accounting for 42.31%, 20 cases found T wave inversion in the right chest lead, accounting for 38.46%; V1~V3 The QRS1 value of lead is 0.1~0.22 s, the average is (0.13±0.03) s, the QRS2 value of V4~V6 lead is 0.08~0.18 s, the average is (0.11±0.02) s, and the average value of QRS1 is higher than the average value of QRS2,statistical significance was significant (P<0.01); 19 patients with QRS1≥0.13s, accounting for 35.53% (P>0.05); 32 patients with QRS1/QRS2≥1.2,accounting for 61.53% (P>0.05);T wave inversion occurred in 20 cases of V1~V3 lead, accounting for 38.46%. Compared with those without T wave inversion, the difference was statistically significant (P<0.05), 8 cases of limb lead low voltage, 6 cases of complete Right bundle branch block, 2 cases of internal block, 2 cases of right bundle branch block, 2 cases of left posterior branch block, 2 cases of left anterior branch block, and 2 cases of aVF lead showed T wave alternation.Conclusion The main manifestations of ARVC patients were asymptomatic and arrhythmogenic. The electrocardiogram was mainly characterized by the extension of the right chest lead and the Epsilon wave QRS interval. Familiar with the characteristics of ECG in patients with ARVC is of great significance for clinical diagnosis and treatment of ARVC.

参考文献/References:

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更新日期/Last Update: 2019-08-15