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心率减速力及 QT 离散度对慢性心力衰竭患者心源性猝死的预测价值

张硕 冷永群 卢佳佳 宋旷蓉 邓宇英

实用心电学杂志Issue(3):196-199,4.
实用心电学杂志Issue(3):196-199,4.DOI:10.13308/j.issn.2095-9354.2015.03.012

心率减速力及 QT 离散度对慢性心力衰竭患者心源性猝死的预测价值

Clinical value of deceleration capacity and QT dispersion in predicting cardiac sudden death of patients with chronic heart failure

张硕 1冷永群 1卢佳佳 1宋旷蓉 1邓宇英1

作者信息

  • 1. 430022 湖北 武汉,华中科技大学同济医学院附属武汉市中西医结合医院 武汉市第一医院 心电诊断科
  • 折叠

摘要

Abstract

Objective To investigate the values of deceleration capacity(DC)and QT disper-sion(QTd)in predicting cardiac sudden death(CSD)of patients with chronic heart failure(CHF). Methods One hundred CHF patients(CHF group)were randomly selected and followed up during one year.According to the existence of ventricular arrhythmia(VA),they were divided into VA group(43 cases)and non-VA group(57 cases).According to the existence of CSD,the enrolled cases were also divided into CSD group(1 8 cases)and survival group(82 cases).Meanwhile,an-other 1 00 healthy people examinated in our hospital were regarded as control group.In an early phase,the values of DC and QTd were measured in each group,and statistically analysed.Results Separately compared with control group,non-VA group,and survival group,differences of DC and QTd values were all statistically significant (P <0.05)in CHF group,VA group,and CSD group,respectively.The value of QTd was negative to that of DC among CHF patients.Conclusion DC and QTd values of CHF patients were associated with the severity of attacks,which can be re-garded as sensitive indices to predict CSD among CHF patients.

关键词

心率减速力/QT 离散度/慢性心力衰竭/心源性猝死

Key words

deceleration capacity/QT dispersion/chronic heart failure/cardiac sudden death

分类

医药卫生

引用本文复制引用

张硕,冷永群,卢佳佳,宋旷蓉,邓宇英..心率减速力及 QT 离散度对慢性心力衰竭患者心源性猝死的预测价值[J].实用心电学杂志,2015,(3):196-199,4.

基金项目

武汉市卫计委卫生科技计划项目(2003)228 ()

实用心电学杂志

2095-9354

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