Zhen-Hua Li, Bao-Jiang Xie, Wei Yi, Li Li, Ya-Xian Wei, Nuo Yi, Li-Hong Lu
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引用次数: 0
摘要
研究目的该研究旨在通过Holter监测评估感染人类免疫缺陷病毒(HIV)的女性患者的临床特征:方法:对地坛医院使用 Holter 监测仪的 35 例女性艾滋病感染者进行回顾性分析:在基本节律方面,窦性心律30例,室性早搏27例,室上性早搏26例,心率变异轻度减低12例,心率变异正常9例,室上性心动过速8例,ST段异常改变5例,窦性心动过缓2例,阵发性心房颤动2例,交界性逸搏心律2例。以下心电图变化各仅有 1 例:持续性心房颤动、窦性心动过速、对偶室上性早搏、加速性室性心律、中房传导阻滞、二度 Mobitz I 型房室传导阻滞、二度 Mobitz II 型房室传导阻滞、完全性右束支传导阻滞、T 波异常、心率变异显著减弱:结论:Holter 监测仪可显示 HIV 阳性患者心电图的更多变化,尤其是明显的心电图异常,如阵发性心房颤动,可指导早期临床治疗,避免严重不良后果的发生。
Holter Monitoring Analysis of Women Infected with the Human Immunodeficiency Virus.
Objective: The aim of the study was to assess the clinical features of women infected with the human immunodeficiency virus (HIV) using Holter monitoring.
Methods: Thirty-five female patients infected with HIV using a Holter monitor at the Ditan Hospital were retrospectively analyzed.
Results: In terms of basic rhythms, there were 30 cases of sinus rhythm, 27 cases of ventricular premature beat, 26 cases of supraventricular premature beat, 12 cases of mild reduction of HRV, 9 cases of normal heart rate variability (HRV), 8 cases of supraventricular tachycardia, 5 cases of abnormal ST-segment changes and 2 cases of sinus bradycardia 2 cases of paroxysmal atrial fibrillation 2 cases of junctional escape rhythm. There was only one case in each of the following ECG changes: persistent atrial fibrillation, sinus tachycardia, couplet supraventricular premature beats, accelerated idioventricular rhythm, sinoatrial block, second-degree Mobitz type I atrioventricular block, second-degree Mobitz type II atrioventricular block, complete right bundle branch block, T-wave abnormality, and significant reduction of HRV.
Conclusion: The Holter monitor can show more changes in the electrocardiogram (ECG) of HIV-- positive patients, particularly significant ECG abnormalities, such as paroxysmal atrial fibrillation, and can direct early clinical treatment to serious adverse results.
期刊介绍:
Current HIV Research covers all the latest and outstanding developments of HIV research by publishing original research, review articles and guest edited thematic issues. The novel pioneering work in the basic and clinical fields on all areas of HIV research covers: virus replication and gene expression, HIV assembly, virus-cell interaction, viral pathogenesis, epidemiology and transmission, anti-retroviral therapy and adherence, drug discovery, the latest developments in HIV/AIDS vaccines and animal models, mechanisms and interactions with AIDS related diseases, social and public health issues related to HIV disease, and prevention of viral infection. Periodically, the journal invites guest editors to devote an issue on a particular area of HIV research of great interest that increases our understanding of the virus and its complex interaction with the host.