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目的观察高血压心脏重构患者心律失常的治疗效果。方法选取2012年8月-2014年8月内科收治的高血压并发心律失常的患者100例,分析其心电图的变化、X线胸片及超声心动图变化的情况。结果降压药物治疗1年后,100例患者血压下降与心律失常发生频率、心胸比率及左室重量指数呈均明显改善,差异有统计学意义(P<0.01)。结论高血压性心律失常患者应联合使用降压药物有效降压、逆转心脏重构,以达到降低长期心血管发病和死亡的总风险。
Objective To observe the therapeutic effect of arrhythmia on hypertensive cardiac remodeling. Methods 100 patients with hypertension and arrhythmia admitted from August 2012 to August 2014 were enrolled in this study. Changes of electrocardiogram, changes of X-ray and echocardiography were analyzed. Results After one year of treatment with antihypertensive drugs, the blood pressure drop, arrhythmia frequency, cardiothoracic ratio and left ventricular mass index in 100 patients were significantly improved (P <0.01). Conclusion Hypertensive arrhythmia patients should be combined with antihypertensive drugs effective antihypertensive and reverse cardiac remodeling in order to reduce the overall risk of long-term cardiovascular morbidity and mortality.