慢性阻塞性肺疾病合并缺血性心脏病患者在计算机肺活量描记术中心律失常的风险

L. Rasputina, D. Didenko
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引用次数: 0

摘要

目的:评价肺活量描画合并支气管扩张试验在合并稳定型缺血性心脏病(IHD)和慢性阻塞性肺疾病(COPD)患者中的安全性。材料和方法。148例患者接受了检查,其中53例合并稳定IHD和COPD, 53例IHD未合并COPD, 42例合并COPD。患者接受一般临床检查、心电图监测、超声心动图、肺活量描记术。结果和讨论。超声心动图检查后1小时内室外收缩次数增加,合并病理患者室上性室外收缩(SVE)次数增加最多,平均(12.6±6.8,p = 0.23)。合并病理的患者在肺活量检查后1小时内室性超收缩(VE)次数增加(27.8±12.6,p = 0.0064),而IHD患者增加(3.4±2.2,p = 0.19), COPD患者增加(15.7±12.5,p = 0.076)。合并病理的4例(7.5%)、IHD患者2例(3.8%)和COPD患者3例(7.1%)报告了多性VE的数量或发生率增加。11例合并IHD和COPD患者(20.7%,p = 0.008)、5例单独病程IHD患者(9.4%,p = 0.06)和3例COPD患者(7.1%,p = 0.23)在肺活学检查中出现高级别VE。确定了IHD和COPD患者行肺活量测定后1小时内肺活量增加的预测因素。肺活量描记术与IHD和COPD合并患者节律障碍的发生有关。在进行肺活量描记术之前,IHD患者应接受超声心动图检查并每日监测心电图。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Risk of heart rhythm disorders in patients with chronic obstructive pulmonary disease, combined with ischemic heart disease during computer spirography
The aim — to evaluate the safety of spirography with bronchodilation test in patients with a combination of stable ischemic heart disease (IHD) and chronic obstructive pulmonary disease (COPD).Materials and methods. 148 patients were examined including 53 patients with a combination of stable IHD and COPD, 53 IHD patients without concomitant COPD and 42 patients with COPD. Patients underwent general clinical examination, monitoring of an electrocardiogram, echocardiography, spirography.Results and discussion. An increase in the number of extrasystoles within 1 hour after performing spirography was noted, the greatest increase in the number of supraventricular extrasystoles (SVE) was observed in patients with combined pathology — on average (12.6 ± 6.8, p = 0.23). The number of ventricular extrasystoles (VE) within 1 hour after spirography in patients with combined pathology increased by (27.8 ± 12.6, p = 0.0064), whereas in patients with IHD — by (3.4 ± 2.2, p = 0.19), in patients with COPD — by (15.7 ± 12.5, p = 0.076). An increase in the number or occurrence of polytropic VE was reported in 4 (7.5 %) persons with combined pathology, in 2 (3.8 %) patients with IHD and in 3 (7.1 %) patients with COPD. The occurrence of high‑grade VE during spirography was established in 11 (20.7 %, p = 0.008) patients with a combination of IHD and COPD, in 5 (9.4 %, p = 0.06) patients with isolated course of IHD and in 3 (7.1 %, p = 0.23) patients with COPD. The predictors of an increase in the number of VE within 1 hour after performing spirography for patients with IHD and COPD were identified.Conclusions. Spirography is associated with the occurrence of rhythm disorders in patients with a combination of IHD and COPD. Prior to spirography, patients with IHD should undergo echocardiography and daily monitoring of the electrocardiogram.
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