[系统性硬化症患者心电图和动态心电图参数的评估]。

Przeglad lekarski Pub Date : 2016-01-01
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引用次数: 0

摘要

本研究的目的是评估系统性硬化症患者心电图和动态心电图监测的心电图异常情况。材料与方法:选取70例系统性硬化症患者和20例健康人作为研究对象。平均病程为100,8±95,79个月。评估以下心电图参数:驱动节律、P波、pq间期、房室和室内传导障碍、ST-T复合异常、平均心率、传导障碍的存在、室上性和室性心律失常。我们评估雷诺现象或病程与心电图异常之间是否存在任何关系。结果:我们发现系统性硬化症患者的室上性和室性心律失常负担高于对照组个体。雷诺现象或系统性硬化症持续时间越长,心律失常的发生率越高。室上性心律失常患者多为nyha I/II级心衰,室性心律失常患者多为nyha II级心衰。结论:长期存在雷诺现象和系统性硬化症的患者发生心律失常的风险较高。似乎警惕的心电图监测可以增加患者的安全。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Assessment of ECG and holter parameters among patients with systemic sclerosis].

Introduction: The aim of our study was to assess electrocardiographic abnormalities on the standard ECG and Holter monitoring in patients with systemic sclerosis.

Materials and methods: 70 patients with systemic sclerosis and 20 healthy individuals were included in the study. Mean disease duration was 100,8 ± 95,79 months. The following electrocardiographic parameters were assessed: driving rhythm, P wave, PQ interval, atrio-ventricular and intraventricular conduction disturbances, ST-T complex abnormalities, mean heart rate, presence of conduction disturbances, supraventricular and ventricular arrhythmias. We evaluated if there could be any relationship between the Raynaud’s phenomenon or disease duration and electrocardiographic abnormalities.

Results: We found that patients with systemic sclerosis had higher burden of supraventricular and ventricular arrhythmias than individuals in the control group. The longer duration of the Raynaud’s phenomenon or systemic sclerosis the higher incidence of these arrhythmias could be found. Patients with supraventricular arrhythmias were more often in NYHA class I/II heart failure whilst patients with ventricular arrhythmias were in NYHA class II.

Conclusions: Patients with the longstanding Raynaud’s phenomenon and systemic sclerosis are at a high risk of developing cardiac arrhythmias. It seems that a vigilant electrocardiographic monitoring could increase patients safety.

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