|本期目录/Table of Contents|

[1]陈玉华,周军,刘天骄,等.室性早搏对中心动脉压的影响[J].国际心血管病杂志,2018,02:109-111.
 CHEN Yuhua,ZHOU Jun,LIU Tianjiao,et al.Impact of ventricular premature beat on central aortic pressure[J].International Journal of Cardiovascular Disease,2018,02:109-111.
点击复制

室性早搏对中心动脉压的影响

《国际心血管病杂志》[ISSN:1006-6977/CN:61-1281/TN]

期数:
2018年02期
页码:
109-111
栏目:
临床研究
出版日期:
2018-03-25

文章信息/Info

Title:
Impact of ventricular premature beat on central aortic pressure
作者:
陈玉华周军刘天骄俞晓雯周静
201900 上海交通大学医学院附属第九人民医院心内科
Author(s):
CHEN Yuhua ZHOU Jun LIU Tianjiao YU Xiaowen ZHOU Jing.
Department of Cardiology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 201900, China
关键词:
室性早搏 联律间期 中心动脉压
Keywords:
Ventricular premature beat Coupling interval Central aortic pressure
分类号:
-
DOI:
10.3969/j.issn.1673-6583.2018.02.012
文献标识码:
-
摘要:
目的:了解室性早搏对中心动脉压的影响。方法:根据联律间期将行冠状动脉造影术时出现室性早搏的患者分成两组。短联律间期室性早搏(SCIVPB)组(n=32),即R'R/RR<0.6(R'R为窦性心律QRS与室性早搏的间距,RR为窦性心律RR间距); 长联律间期室性早搏(LCIVPB)组(n=35),即R'R/RR≥0.6。比较两组室性早搏时中心动脉压的变化及室性早搏前窦性心律时中心动脉舒张压(CDP)的变化。结果:两组室性早搏时中心动脉收缩压(CSP)和CDP均较窦性心律时显著下降(P均<0.05)。与LCIVPB组相比,SCIVPB组CSP和CDP的下降率更大(P均<0.05)。与窦性心律时相比,两组室性早搏前窦性心律时的CDP增高,但SCIVPB组较LCIVPB组增高率更显著(P均<0.05)。结论:SCIVPB和LCIVPB时中心动脉压下降和外周阻力增高,且SCIVPB时变化更显著。
Abstract:
Objective:To study the impact of ventricular premature beat(VPB)on central aortic pressure(CAP).Methods:According to the coupling interval, the patients with VPB during coronary angiography were divided into two groups: short coupling interval ventricular premature beat(SCIVPB)group, as R'R/RR<0.6(R'R is the interval between QRS of sinus rhythm and ventricular premature, RR is the interval between sinus rhythm), for 32 patients, and long coupling interval ventricular premature beat(LCIVPB)group, as R'R/RR≥0.6, for 35 patients. The change of CAP in VPB and the central aortic diastolic pressures(CDP)of sinus rhythm before the VPB in two groups were compared.Results:The central aortic systolic pressures(CSP)and CDP in VPB were significantly lower than those in sinus rhythm in two groups(all P<0.05). The decreased percentages of the CSP and CDP in SCIVPB group was significantly higher than those in LCIVPB group(both P<0.05). The CDP of sinus rhythm before the VPB was significantly higher than that of sinus rhythm in two groups. The increased percentage of the CDP in SCIVPB group was significantly higher than that in LCIVPB group(all P<0.05).Conclusions:The CAP decreased and the peripheral resistance increased in VPB, and the change of SCIVPB was more obvious than that of LCIVPB.

参考文献/References

[1] 杜琼颖, 井艳, 张巧珍. 室性早搏联律间期长短与桡动脉图的关系[J]. 医药论坛杂志, 2007, 28(24):120-121.
[2] Cantillon DJ. Evaluation and management of premature ventricular complexes[J]. Cleve Clin J Med, 2013, 80(6):377-387.
[3] 姜小坤, 马锋. 山西省某医院心律失常住院病人回顾性调查研究[J]. 中西医结合心脑血管病杂志, 2008, 6(1):9-10.
[4] 张莹, 谭洪勇. 频发室性早搏患者生活质量调查及射频导管消融治疗的影响[J]. 中华行为医学与脑科学杂志, 2013, 22(11):1004-1006.
[5] 刘书旺, Yongmei Cha. 频发室性早搏导致的心肌病[J]. 中国心脏起搏与心电生理杂志, 2012, 26(2):101-104.
[6] 黄从新. 室性早搏诱发的心动过速性心肌病[J]. 中国心脏起搏与心电生理杂志, 2010, 24(3):189-190.
[7] 郑继锋, 庄晓华, 廖德宁. 室早诱发心肌病[J].江西医药, 2012, 47(5):442-446.
[8] Yao J, Yang R, Xu D, et al. Circumferential myocardial contraction patterns in patients with idiopathic frequent premature ventricular complexes from the right ventricular outflow tract[J]. Int J Cardiol, 2013, 166(1):166-172.
[9] Sun Y, Blom NA, Yu Y, et al. The influence of premature ventricular contractions on left ventricular function in asymptomatic children without structural heart disease: an echocardiographic evaluation[J]. Int J Cardiovasc Imaging,2013, 19(4):295-299.

备注/Memo

备注/Memo:
通信作者:周静,Email:13917414353@com
更新日期/Last Update: 2018-04-20