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急性脑梗死对心率变异性、QT离散度及心室晚电位的影响

安占军 徐立霞 董月清 马红亮 赵春鹏

武警医学2011,Vol.22Issue(10):833-835,3.
武警医学2011,Vol.22Issue(10):833-835,3.

急性脑梗死对心率变异性、QT离散度及心室晚电位的影响

Effects of acute cerebral infarction on heart rate variability, QT dispersion and ventricu lar late potential

安占军 1徐立霞 2董月清 3马红亮 4赵春鹏5

作者信息

  • 1. 050081 石家庄,武警河北总队医院内二科
  • 2. 050031石家庄,河北医科大学第四医院肿瘤内科
  • 3. 300162 天津,武警医学院附属医院脑系科
  • 4. 073000 定州,武警8640部队医院内科
  • 5. 073000 定州,武警8640部队医院门诊部
  • 折叠

摘要

Abstract

Objective To investigate the effect of acute cerebral infarction and its location and severity on heart electric activity. Methods One hundred and seven patients with acute cerebral infarction (CI) and 79 healthy persons on physical examinations as controls were entered into the study. The difference of standard diviation of NN intervals (SDNN) which demonstrates the heart rate variability (HRV) ,QT dispersion(QTd), and ventricular late potential(VLP) was analysed between patients with CI and healthy controls, between patients with CI in anterior circulation and those in posterior circulation, and between patients with mild CI and those with severe CI. Results SDNN in patients with CI was significantly lower,while QTd and the positive rate of VLP were significantly higher, than those in healthy controls(P <0.01). SDNN in patients with CI in posterior circulation was significantly lower(P <0.05) ,while QTd and the positive rate of VLP were significantly higher( P <0.01), than those in patients with CI in anterior circulation. SDNN in patients with severe CI was significantly lower, while QTd and the positive rate of VLP were significantly higher, than those in patients with mild CI(P <0.01). Conclusions CI as well as its location and severity can influnce the heart electric activity. HRV in patients with CI , especially in those with CI in posterior circulation or in severe condition,tends to be lower while QTd and the positive rate of VLP tend to be higher.

关键词

急性脑梗死/心率变异性/QT离散度/心室晚电位

Key words

acute cerebral infarction/ HRV/ QTd/ VLP

分类

医药卫生

引用本文复制引用

安占军,徐立霞,董月清,马红亮,赵春鹏..急性脑梗死对心率变异性、QT离散度及心室晚电位的影响[J].武警医学,2011,22(10):833-835,3.

武警医学

OACSTPCD

1004-3594

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