| 儿茶酚胺敏感性多形性室性心动过速患者的平板运动试验特点分析 | |
| 杨靖 ; 张萍 ; 吴寸草 ; 高英 ; 李学斌 ; 李鼎 ; 王龙 ; 郭继鸿 ; Yang Jing ; Zhang Ping ; Wu Cuncao ; Gao Ying ; Li Xuebin ; Li Ding ; Wang Long ; Guo Jihong | |
| 2016-03-30 ; 2016-03-30 | |
| 关键词 | 儿茶酚胺类 心动过速,室性 运动试验 特征 诊断 general hospital job evaluation factor medical assistant reliability validity R541.7 |
| 其他题名 | Exercise-stress test characteristics of catecholaminergic polymorphic ventricular tachycardia |
| 中文摘要 | 目的研究儿茶酚胺敏感性多形性室性心动过速(CPVT)患者的平板运动试验特点。方法回顾性分析2006年9月至2014年3月在北京大学人民医院心内科临床诊断为CPVT的15例患者(其中男性9例,60.0%)的平板运动心电图资料。结果 (1)服用药物前,15例患者行平板运动试验均诱发出室性心律失常,阈值心率为(122.3±26.1)次/min,其中9例(60.0%)记录到特征性双向性室性心动过速,6例(40.0%)记录到双向性室性心动过速和多形性室性心动过速;(2)同时,8例患者(53.3%)记录到运动后的房性心律失常,且房性期前收缩阈值心率明显低于室性期前收缩[(91.5±26.3)次/min比(115.2±18.5)次/min,P=0.003];(3)15例患者在良好的监测下,平板运动试验安全性可靠。结论平板运动试验可安全有效诱发室性心律失常,对于CPVT的诊断有重要价值。; Objective To investigate the characteristics of exercise-stress test in catecholaminergic polymorphic ventricular tachycardia( CPVT) patients. Methods Exercise-stress test data of 15 CPVT patients( 9 male,60. 0%),diagnosed in the Department of Cardiology,Peking University People's Hospital between September 2006 and March 2014,were reviewed and analyzed retrospectively. Results( 1)Without any medication, 15 patients underwent exercise-stress test showing induction of ventricular tachycardia,and premature ventricular contractions threshold was( 122. 3 �26. 1) beats /min. The morphology of CPVT was bidirectional( 9 /15,60. 0%),polymorphic and bidirectional( 6 /15,40. 0%);( 2) Meanwhile,atrial arrhythmia were recorded in 8 patients( 8/15,53.3%) and premature atrial contractions( PACs) threshold was significantly lower than premature ventricular contractions( PVCs)[( 91.5 �6.3) bpm vs.( 115.2 �8.5),P =0.003];( 3) Under well controlled conditions,exercisestress tests were performed safely. Conclusions Ventricular arrhythmias can be triggered by exercise-stress test effectively and safely in CPVT patients. Exercise-stress test has important value in diagnosing CPVT. |
| 语种 | 中文 ; 中文 |
| 内容类型 | 期刊论文 |
| 源URL | [http://ir.lib.tsinghua.edu.cn/ir/item.do?handle=123456789/147474]  |
| 专题 | 清华大学 |
| 推荐引用方式 GB/T 7714 | 杨靖,张萍,吴寸草,等. 儿茶酚胺敏感性多形性室性心动过速患者的平板运动试验特点分析[J],2016, 2016. |
| APA | 杨靖.,张萍.,吴寸草.,高英.,李学斌.,...&Guo Jihong.(2016).儿茶酚胺敏感性多形性室性心动过速患者的平板运动试验特点分析.. |
| MLA | 杨靖,et al."儿茶酚胺敏感性多形性室性心动过速患者的平板运动试验特点分析".(2016). |
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