1036例正常孕妇妊娠期心电图异常的初步分析
Analysis of the incidence and cause of abnormal ECG in normal pregnant women
赵丽1
作者信息
- 1. 复旦大学附属妇产科医院 心内科,上海 200011
- 折叠
摘要
目的 探讨无器质性心脏病患者妊娠期间心电图异常的发生率,分析产生的机制和临床意义.方法 对复旦大学附属妇产科医院2015年2月~3月间进行产科检查的1036例正常孕妇心电图进行回顾性分析,分析异常心电图的发生率和病因.结果 妊娠期发生心电图异常者占25%.窦性心动过速占16.31%,短P-R间期占3.57%,T波改变与ST改变分别占1.93%和0.68%,室性期前收缩和房性期前收缩分别占1.16%和0.58%,少见的还有窦性心动过缓和房室传导阻滞等.各年龄组异常心电图类型的分布无明显差别.结论 妊娠期间心电图异常的发生率较高,其中以窦性心动过速最为常见,其次为短P-R间期、T波改变和室性期前收缩,ST段改变和房性期前收缩亦为常见.
Abstract
Objective Investigated the incidence of abnormal electrocardiogram (ECG) in patients without organic heart disease, and analyzed the mechanism and clinical significance. Methods A retrospective analysis was done for 1036 pregnant women's ECG in the affiliated obstetrics and Gynecology Hospital of Fudan University during February and March of 2015. Results The abnormal ECG patients during pregnancy accounted for 25%. Among all the ECG abnormalities, sinus tachycardia was 16.31%, short PR interval was 3.57%, T-wave change was 1.93%, ST segment change was 0.68%, premature ventricular contraction and atrial premature beat were 1.16% and 0.58%, respectively. And they also included a few patients with sinus bradycardia and atrio-ventricular block. There are no significant differences for the distribution of the types of abnormal ECG for all ages. Conclusion There is a higher incidence of ECG abnormalities during pregnancy. The sinus tachycardia is the most common happened, followed by a short PR, T wave changes and ventricular premature beat, ST segment changes and atrial premature beat.
关键词
妊娠/心电图/异常/心律失常Key words
pregnancy/abnormal/electrocardiogram/arrhythmia引用本文复制引用
出版年
2017
NETL
NSTL
维普
万方数据