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多年来,心房颤动合并Ⅱ°房室传导阻滞的诊断标准一直为临床及心电图医师所采用,在实际工作中遇到的此类病人亦不少见,现将我院1998年以来有完整资料的32例心房颤动合并Ⅱ°房室传导阻滞复律前后的一组资料进行分析并报道如下。本组资料均为我院住院患者,男18例,女14例,年龄18-65岁,其中风心病14例,冠心病8例,甲亢2例,心肌病3例,特发性心房颤动5例。心功能Ⅰ-Ⅱ级22例,Ⅲ级10例。心房颤动病程1年以内者20例,5年以内者12例。心电图诊断标准:①R—R间期长达1．5秒以上者;②出现结性逸搏或室性逸搏。本组资料中,R—R间期≥1．5秒者14例,≥1．8秒者10例,≥2．0秒者2例,出现结性逸搏(在同1份心电图中其恒定的R—R间期≥1．0秒出现3次以上)
Over the years, the diagnostic criteria of atrial fibrillation combined with Ⅱ ° atrioventricular block has been used by clinical and electrocardiographic physicians, such patients encountered in the actual work is not uncommon, now our hospital has complete information since 1998 32 cases of atrial fibrillation with Ⅱ ° atrioventricular block before and after a set of data analysis and reported as follows. The data are hospitalized patients in our hospital, 18 males and 14 females, aged 18-65 years, of which 14 cases of rheumatic heart disease, coronary heart disease in 8 cases, hyperthyroidism in 2 cases, 3 cases of cardiomyopathy, idiopathic atrial fibrillation 5 example. Cardiac function Ⅰ-Ⅱ grade in 22 cases, Ⅲ grade in 10 cases. Atrial fibrillation within 1 year in 20 cases, 12 cases within 5 years. ECG diagnostic criteria: â ’R-R interval of up to 1.5 seconds or more; â’ ¢ knot or escape sexual esophageal aneurism. The data in this group, R-R interval of 1.5 seconds or more in 14 cases, ≥ 1.8 seconds in 10 cases, ≥ 2.0 seconds in 2 cases, the emergence of recurrent Yat (in the same ECG Constant R-R interval ≥ 1.0 seconds more than 3 times)