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对１２９例高血压病患者进行２４小时动态心电图监测，分析室性心律失常的发生。结果表明：伴左室肥厚高血压组（ｎ＝４８）复杂室性心律失常（按Ｌｏｗｎ分级≥ＩＩＩ级）的发生率显著高于无左室肥厚的高血压组（ｎ＝８１），７０．８％ＶＳ１３．６％，Ｐ＜０．００５；复杂室性心律失常昼夜变化以晨６时至正午１２时发生率较高。提示高血压病左室肥厚存在复杂室性心律失常易发性及致心律失常源的基础。积极逆转左室肥厚、改善心肌缺血及抗室性心律失常的治疗是有意义的。
A total of 129 patients with essential hypertension were monitored for 24 hours and the occurrence of ventricular arrhythmia was analyzed. The results showed that the incidence of complex ventricular arrhythmias (≥ Llevel ≥ III) in patients with left ventricular hypertrophy (n = 48) was significantly higher than in those without LV hypertrophy (n = 81), 70. 8% VS13.6%, P <0.005; diurnal changes of complex ventricular arrhythmias from morning 6 am to noon 12 high incidence. Prompt hypertensive left ventricular hypertrophy complex ventricular arrhythmia prone and arrhythmogenic origin. Positive reversal of left ventricular hypertrophy, improve myocardial ischemia and anti-ventricular arrhythmia treatment is meaningful.