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目的探讨动态心电图分析在心房颤动伴长R-R间距的临床意义。方法回顾性分析600例动态心电图(DCG)检查结果,检出持续性房颤32例,其中房颤伴长R-R间距14例。观察长间歇出现的规律,采用最高、最低、平均率,24h总心率,每小时平均率等参数分析房颤伴发长R-R间期的心率波动情况。结果 32例中共检出R-R间期>2.0s14例。结论 Af伴长R-R间期者不要轻易做出合并二度AVB诊断,可用“长R-R间期请结合临床”表述并由临床医生结合临床情况作出判断较为客观。
Objective To investigate the clinical significance of dynamic electrocardiogram analysis in patients with atrial fibrillation with long R-R interval. Methods A retrospective analysis of 600 cases of dynamic electrocardiogram (DCG) test results, detected 32 cases of persistent atrial fibrillation, including atrial fibrillation with long R-R spacing in 14 cases. Observed the rule of intermittent intermittent, and the highest, lowest, average rate, 24h total heart rate, hourly average rate and other parameters analysis of atrial fibrillation with long R-R interval heart rate fluctuations. Results 32 cases were detected in the R-R interval> 2.0s14 cases. Conclusion Af with long R-R interval should not easily make the diagnosis of second-degree AVB combined with “long R-R interval combined with clinical ” statement by the clinician to make more objective judgments based on clinical conditions.