khảo sát rối loạn nhịp và thiếu máu cơ tim trên bệnh nhân tăng huyết áp có ecg thường quy thường bằng holteg ecg 24 giờ

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KHO SÁT RI LON NHP VÀ THI
HUYNG BNG HOLTER ECG 24 GI

 Dung, Trn Minh Trí
1
, Hu
2
1

2



M:  hii lon nhp vi ng dn tim 24 gi trong
lâm sàng, chúng tôi tin hành nghiên c tài vi các mc tiêu sau: (1) Kho sát t l ri lon
nhp, thiu máu cc b n tim 24 gi; nh t l, tn sut ri lon
nhp trên Holter theo nh
ng nghiên cu: Bt áp vào khoa tim mch bnh vin N guyn
Trãi t n tim 12 chuyng.
cu: Nghiên cu ct ngang tin cu mô t.
Kt qu: (1) T l các ngoi tâm thu tht, ngoi tâm thu trên thi
c phát hin trên holter 24 gi khá cao. (2) T l các ri lon nhp phc tp, nguy him
(ngoi tâm thu tht côi, nhanh th
ban ngày. (3) Huyt áp càng cao th t l xy ra ri lon nhp và thiu máu máu cc b 
càng nhiu.
Kt lun: Nghiên cu nh giúp phát hin nhiu ri lon nh và s
giúp s dng thuu tr tt áp.

T V
  

 







 


- 
- 



Tiêu chuẩn nhận bệnh: 123 b   t áp vào khoa tim mch 2 bnh vin
Nguyn Trãi t n tim tng
Tiêu chuẩn loại trừ: Các bnh mang tính cht cp tính (Bnh nhân nhp, viêm
màng ngoài tim cp, tai bin mch máu não ct cp suy thn mn, xut huy
- ng ý mang máy, mang máy b rn cc,thi 20 gi.

[3]

-
- 

-
547
-



-

-
-
gian

 


        

 t áp: theo khuyn cáo ca hi Tim mch Vit Nam.2006-2010
               






i

Chung

51.20±7.69 (56)
73.25±8.80 (67)
63.21±13.78 (123)
Nam, n(%)
33/56 (58.93%)

27/67 (40.30%)
60/123 (48.78%)



NTTTrT >100/24G§
NTTT>100/24G§
TMCT§§


23 (18.7%)
22 (17.9%)
33 (26.8%)
18 (14.6%)

6 (4.9%)
6 (4.9%)
25 (20.3%)
7 (5.7%)
Nam
15 (12.2%)
13 (10.6%)
38 (30.9%)
10 (8.1%)

14 (11.4%)
15 (12.2%)
20 (16.3%)
15 (12.2%)


11 (8.9%)
6 (4.9%)
15 (12.2%)
7 (5.7%)

18 (14.6%)
22 (17.9%)
43 (35.0%)
18 (14.6%)
- 
- 
- 
- 


Ban ngày 6g  20g
 6g

17/28 (60.7%)
17/28 (60.7%)
11/28 (39.3%)

4/28 (14.3%)
3/28 (10.7%)
3/28 (10.7%)

3/28 (10.7%)
3/28 (10.7%)
3/28 (10.7%)


13/28 (46.4%)
13/28 (46.4%)
11/28 (39.3%)

16/28 (57.1%)
16/28 (57.1%)
13/28 (46.4%)

- 

Ban ngày 6g  20g

 6g







5 (29.4%)
12 (70.6%)

3 (27.3%)
8 (72.7%)

0 (0%)
3 (100%)

0 (0%)

3 (100%)

0 (0%)
3 (100%)

0 (0%)
3 (100%)

2 (15.4%)
11 (84.6%)

2 (18.2%)
9 (81.8%)
548

4 (25.0%)
12 (75.0%)

4 (30.8%)
9 (69.2%)

- 

Ban ngày 6g  20g
 6g

6/25 (24.0%)
3/25 (12.0%)

10/25 (40.0%)

14/25 (56.0%)



Hol

3], 
2].


-      5  


12

lâm sàng.


1][2], Hirofumi Tasaki [6
9]. Các nghiên 

sáng [10
 
8





8



7 


           11],


Nhóm c







y.
549
               




1. 
-40. 
-175.
2. 
, tr
12-23.
3. 


4. 

; tr 278-282.
5. C. Michael Gibson et al (2007). Diagnostic and prognostic value of ambulatory ECG
(Holter) monitoring in patients with coronary heart disease: a review. Journal of
Thrombosis and Thrombolysis.135-145.
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Fibrillation in Patients with and without Structural Heart Disease in Untreated State.
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