• 
    

    
    

      99热精品在线国产_美女午夜性视频免费_国产精品国产高清国产av_av欧美777_自拍偷自拍亚洲精品老妇_亚洲熟女精品中文字幕_www日本黄色视频网_国产精品野战在线观看

      ?

      心尖肥厚型心肌病患者的心律失常特點(diǎn)研究

      2019-05-28 11:32秦淑娟
      中外醫(yī)療 2019年5期
      關(guān)鍵詞:生化指標(biāo)超聲心動(dòng)圖

      秦淑娟

      [摘要] 目的 從生化指標(biāo)表達(dá)、超聲心動(dòng)圖表現(xiàn)及預(yù)后3方面分析心尖肥厚型心肌病患者合并發(fā)生心律失常后的特點(diǎn)。 方法 方便選取2013年4月—2015年10月期間北京阜外醫(yī)院/成都市第三人民醫(yī)院收治的87例心尖肥厚型心肌病患者作為研究對(duì)象,根據(jù)是否合并心律失常將87例患者分為觀察組(合并心律失常)和對(duì)照組(未合并心律失常),收集兩組患者生化指標(biāo)檢測(cè)結(jié)果、超聲心動(dòng)圖檢查結(jié)果、臨床治療及預(yù)后資料,進(jìn)行數(shù)據(jù)統(tǒng)計(jì)分析,從上述3個(gè)方面總結(jié)心尖肥厚型心肌病患者的心律失常特點(diǎn)。 結(jié)果 觀察組合并心律失常的類型包括心房撲動(dòng)、竇性心動(dòng)過(guò)緩、心房顫動(dòng)、室性心律失常、房室傳導(dǎo)阻滯。生化指標(biāo),觀察組患者的TG為(1.53±0.35)mmol/L,低于對(duì)照組的為(2.30±0.39)mmol/L(t=6.571;P<0.05),NT-pro BNP為(2.93±0.35)pmol/L,高于對(duì)照組的(2.26±0.41)pmol/L(t=5.558;P<0.05),其他生化指標(biāo)檢測(cè)結(jié)果比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P>0.05)。超聲心動(dòng)圖檢查結(jié)果,觀察組中心律失常組類型為心房顫動(dòng)的患者左心房前后徑為(40.05±5.02)mm,大于對(duì)照組患者的(34.91±4.88)mm(t=3.283;P<0.05)。其他參數(shù)比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P>0.05)。觀察組患者隨訪期間的心臟不良事件發(fā)生率為8.16%、死亡率為4.08%,與對(duì)照組患者的5.26%、2.63%比較差異無(wú)統(tǒng)計(jì)學(xué)意義(χ2=0.713、0.135,P>0.05)。 結(jié)論 心律失常作為心尖肥厚型心肌病患者的常見(jiàn)臨床表現(xiàn),類型較多,包括心房撲動(dòng)、竇性心動(dòng)過(guò)緩、室性心律失常等,但合并發(fā)生后并不會(huì)出現(xiàn)較多特異性表現(xiàn),對(duì)患者預(yù)后無(wú)明顯影響。

      [關(guān)鍵詞] 心尖肥厚型心肌?。怀曅膭?dòng)圖;生化指標(biāo)

      [中圖分類號(hào)] R542.2 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1674-0742(2019)02(b)-0025-03

      Arrhythmia Characteristics in Patients with Apical Hypertrophic Cardiomyopathy

      QIN Shu-juan

      Institute of Cardiovascular Diseases, Chengdu Third People's Hospital, Chengdu, Sichuan Province, 610031 China

      [Abstract] Objective To analyze the characteristics of arrhythmia patients with apical hypertrophic cardiomyopathy after biochemical index expression, echocardiographic findings and prognosis. Methods From April 2013 to October 2015, 87 patients with apical hypertrophic cardiomyopathy admitted to Beijing Fuwai Hospital/Chengdu Third People's Hospital were convenient included in the study. 87 patients were divided into observation group according to whether or not they had arrhythmia combined arrhythmia and control group (without arrhythmia), biochemical indicators, echocardiography, clinical treatment and prognosis data were collected from two groups, and statistical analysis was performed. The apical hypertrophic myocardium was summarized from the above three aspects. Arrhythmia characteristics of patients. Results The types of combined arrhythmias were observed including atrial flutter, sinus bradycardia, atrial fibrillation, ventricular arrhythmia, and atrioventricular block. The TG of the observation group was (1.53±0.35) mmol/L, which was lower than that of the control group (2.30±0.39) mmol/L (t=6.571; P<0.05), and NT-pro BNP was (2.93±0.35) pmol/L, which was higher than that of the control group (2.26±0.41) pmol/L (t=5.558; P<0.05). There was no significant difference between the other biochemical indicators (P>0.05). According to the results of echocardiography, the left atrial anteroposterior diameter of the patients with atrial fibrillation in the observation group was (40.05±5.02) mm, which was greater than that of the control group (34.91±4.88) mm (t=3.283; P<0.05). There were no significant differences in other parameters (P>0.05). The incidence of cardiac adverse events during the follow-up period was 8.16% and the mortality rate was 4.08%. There was no significant difference between the control group of (5.26%, 2.63%) (χ2=0.713, 0.135, P>0.05). Conclusion Arrhythmia is a common clinical manifestation of patients with apical hypertrophic cardiomyopathy. There are many types, including atrial flutter, sinus bradycardia, ventricular arrhythmia, etc., but there will be no more specific manifestations after the merger. There is no significant effect on the prognosis of patients.

      猜你喜歡
      生化指標(biāo)超聲心動(dòng)圖
      酮替芬片聯(lián)合羧甲司坦片治療慢性阻塞性肺疾病發(fā)作控制的效果觀察
      奶牛乳房炎發(fā)病機(jī)理及血清生化指標(biāo)的研究進(jìn)展
      超聲心動(dòng)圖指導(dǎo)下的起搏器植入術(shù)的研究報(bào)告
      早期血漿置換對(duì)重癥高脂血癥性胰腺炎患者的生化指標(biāo)及預(yù)后的影響
      心電圖及超聲心動(dòng)圖在老年急性缺血性腦血管病診斷中的應(yīng)用
      實(shí)時(shí)三維超聲心動(dòng)圖評(píng)價(jià)急性肺栓塞患者右心室功能的臨床研究
      新生兒窒息與生化指標(biāo)的相關(guān)性及并發(fā)癥觀察
      新生兒壞死性小腸結(jié)腸炎早期診斷的生化指標(biāo)檢測(cè)
      超聲心動(dòng)圖綜合參數(shù)對(duì)慢性心力衰竭的診斷及治療評(píng)價(jià)
      噶尔县| 吉木萨尔县| 清远市| 基隆市| 新巴尔虎左旗| 利辛县| 屏东市| 嵊州市| 东光县| 万源市| 宜兰县| 沙坪坝区| 铁岭市| 道孚县| 广平县| 胶南市| 白玉县| 呈贡县| 乐东| 玉门市| 郯城县| 甘谷县| 金湖县| 靖江市| 临高县| 鄯善县| 克东县| 化州市| 库车县| 库伦旗| 偏关县| 乐东| 祁阳县| 黔西县| 汝城县| 林周县| 信宜市| 神木县| 两当县| 武夷山市| 长泰县|