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目的:探讨动态心电图在肌袖性房性心律失常诊断中的价值。方法:分析10例经心内电生理证实起源于肌袖的房性心律失常患者24h动态心电图特征。结果:10例患者动态心电图显示:在窦性心律基础上,出现频发房早,可呈房早二、三联律,频发短阵房速、房扑、房颤,房早联律间期短,多呈P’on T现象,易出现室内差异性传导、干扰性P’R间期延长、房早未下传。房性心律失常与窦律相互交替出现,呈多样性变化。结论:起源于肌袖的房性心律失常有一定规律和心电图特点,通过24h动态心电图监测,可更全面的反映其规律变化,充分展现其心电图特点,动态心电图对肌袖性房性心律失常的诊断有极其实用价值。
Objective: To investigate the value of Holter monitoring in the diagnosis of muscular sleeve atrial arrhythmia. Methods: Ten patients with atrial arrhythmia originated in the muscular sleeve via electrophysiological confirmation of 24-h ambulatory electrocardiogram were analyzed. Results: 10 cases of patients with dynamic electrocardiogram showed: on the basis of sinus rhythm, frequent occurrence of early morning room, there may be room early two, triple the law, frequent brief burst of atrial fibrillation, atrial flutter, atrial fibrillation, Short, mostly P’on T phenomenon, prone to differences in indoor conduction, prolonged Intermittent P’R, the room has not been downloaded. Atrial arrhythmia and sinus rhythm alternately with each other, showing a diversity of changes. Conclusion: Atrial arrhythmia originating from the muscular sleeve has certain regularity and electrocardiogram features. By 24h dynamic electrocardiogram monitoring, it can more fully reflect the changes of its regularity, fully demonstrate the characteristics of electrocardiogram, Holter arrhythmia Diagnosis is extremely practical value.