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二尖瓣脱垂综合征患者QT离散度分析
引用本文:舒娟,薛小临,郭映春,崔长琮.二尖瓣脱垂综合征患者QT离散度分析[J].西安交通大学学报(医学版),1998(1).
作者姓名:舒娟  薛小临  郭映春  崔长琮
作者单位:西安第一临床医学院心内科!西安,710061,西安第一临床医学院心内科!西安,710061,西安第一临床医学院心内科!西安,710061,西安第一临床医学院心内科!西安,710061
摘    要:测定了30例二尖瓣脱垂综合征伴室性心律失常患者的QTd。结果发现,二尖瓣脱垂组QTd、QTcd、JTd显著延长,说明心室肌复极有局部的不均一性和电不稳定性,离散度与室性心律失常的发生密切相关,可能是室性心律失常发生的机理之一。QTd不仅能预测室性心律失常及猝死,而且能指导临床用药,是一很好的临床观察指标。

关 键 词:二尖瓣脱垂  室性心律失常  QT离散度  治疗

CLINICAL RESEARCH OF QT DISPERSION IN PATIENT WITH MITRAL PROLAPSE SYNDROME
Shu Juan, Xue Xiaolin, Guo Yingchun et al.CLINICAL RESEARCH OF QT DISPERSION IN PATIENT WITH MITRAL PROLAPSE SYNDROME[J].Journal of Xi‘an Jiaotong University:Medical Sciences,1998(1).
Authors:Shu Juan  Xue Xiaolin  Guo Yingchun
Abstract:QT dispersion was measured in 30patients with mitral value prolapse syndrome and ventricular arrhythmias (VTAT) on 24 hour Holter recordings. The results were compared with the data from 30 matched controls. It is showed that QT dispersion was greater in patients with mitral value prolapse syndrome than in matched controls (P<0.001). The conclusion is that the regional shorten ing and lengthening of repolarisation times in the patients may account for the increased dispersion. Increased QTd may cause VTAT. QTd can not onlypredict VTAT and sudden death but also direct clinical medication.
Keywords:mitral prolapse syndrome  ventricular arrhythmias  QT dispersion  treatment
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