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从1650例动态心电图中检出室性心动过速(室速)33例,检出率为2%,24h室速发作频度≤10次者29例,多于10次者4例,最多1例为1566次。33例室速患者中患冠心病、心肌炎和心肌病等26例(78.8%)。室速由R落P诱发14例(42.4%),R落T1例(3.0%)。活动时发生室速13例(39.4%),其中12例(92.3%)有器质性心脏病。室速时频率为74~230次/min,平均129.3次/min。早搏指数小于1。提示动态心电图对检出室速、尤其对患器质性心脏病者有重要临床意义,应重视R落P诱发室速现象。
Twenty-three cases of ventricular tachycardia (ventricular tachycardia) were detected from 1650 cases of ambulatory electrocardiogram, with a detection rate of 2%. Twenty-nine patients had ventricular tachycardia episodes less than 10 times in 24 hours, more than 10 times in 4 cases and 1 Example is 1566 times. Twenty-six patients (78.8%) had coronary heart disease, myocarditis and cardiomyopathy in 33 patients with VT. VT was induced by R fall P in 14 cases (42.4%), R fall T1 cases (3.0%). Ventricular tachycardia occurred in 13 cases (39.4%), of which 12 cases (92.3%) had organic heart disease. Ventricular frequency of 74 ~ 230 times / min, an average of 129.3 times / min. Premature beats index is less than 1. Prompt Holter detection of ventricular tachycardia, especially for patients with organic heart disease have important clinical significance, should pay attention to R fall P-induced VT phenomenon.