The study of arrhythmia induced by exercise among patients with coronary heart diseae

Lu lihong; Xu wenjing; Wu qiming; Song yuqing; Wang zhao; Dong qian; Han xiaotao; Chen lijing

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The study of arrhythmia induced by exercise among patients with coronary heart diseae

更新时间：2025-10-15

- The study of arrhythmia induced by exercise among patients with coronary heart diseae
- Vol. 28, Issue 2, Pages: 112-114(2019)
- 作者机构：
  
  首都医科大学附属北京地坛医院
- 作者简介：
- 基金信息：
- DOI：
  CLC： R541.4;R541.7
- Published：2019
- 稿件说明：
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[1]卢利红,徐文晶,吴其明,宋毓青,王昭,董茜,韩晓涛,陈立静.运动试验诱发冠心病心律失常的研究[J].临床心电学杂志,2019,28(02):112-114.

Lu lihong, Xu wenjing, Wu qiming, et al. The study of arrhythmia induced by exercise among patients with coronary heart diseae[J]. 2019, 28(2): 112-114.
[1]卢利红,徐文晶,吴其明,宋毓青,王昭,董茜,韩晓涛,陈立静.运动试验诱发冠心病心律失常的研究[J].临床心电学杂志,2019,28(02):112-114. DOI：

Lu lihong, Xu wenjing, Wu qiming, et al. The study of arrhythmia induced by exercise among patients with coronary heart diseae[J]. 2019, 28(2): 112-114. DOI：

摘要

目的利用平板运动试验TET（treadmill exercise testing）监测和观察运动中冠心病和非冠心病患者心律失常的诱发情况。方法选取273例经冠状动脉造影证实的冠心病和非冠心病患者行TET检查

其中冠心病组（152例）

非冠心病组（121例）

比较两组患者运动诱发心律失常的类型及特点。结果冠心病组心律失常发生率为44.08%（67/152）

明显高于非冠心病组的14.88%（18/121）

差异有统计学意义（P<0.05）。冠心病组心律失常构成类型:室性早搏26.97%（41/152）、房性早搏5.26%（8/152）、阵发性室速5.92%（9/152）、阵发性房颤3.29%（5/152）、右束支阻滞2.63%（4/152）。结论运动可诱发心律失常

冠心病组高于非冠心病组

室性心律失常更多见

对于冠心病患者预防心脏性猝死（SCD）的诊断有一定价值。

Abstract

Objective To observe tha arrhythmias induced by exercise beteween coronary heart disease group and non-coronary heart disease patients in the exercise of treadmill testing. Methods Choose 273 patients of coronary angiography TET examination

according to the result of coronary angiography were divided into CHD group(152 cases) and non CHD group(121 cases). Comparing the types and characteristics of exercise-induced arrhythmia of two groups of patients. Results The results of coronary heart disease group

the incidence of arrhythmia was 44.08%

significantly higher than the 14.88% of non-coronary heart disease group

the difference was statistically significant(p<0.05). Coronary heart disease group of arrhythmia types: ventricular premature beat 26.97%(41/152)

atrial premature beat 5.26%(8/152)

paroxysmal ventricular tachycardia 5.92%(9/152)

paroxysmal fibrillation 3.29%(5/152)

right bundle branch block 2.63%(4/152). Conclusions Exercise can induce arrhythmia

the coronary heart disease group is higher than the non CHD group

the ventricular arrhythmia is more

that has certain value to the diagnosis of coronary heart disease.

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references

动态心电图联合运动平板试验诊断冠心病的临床价值 [J]. 刘建文. 当代医学 . 2015(20)

活动平板运动负荷试验与心律失常的探讨 [J]. 包杰. 大家健康(学术版) . 2014(16)

160例平板运动试验诱发心律失常分析 [J]. 曲晓燕,闫慧娟. 现代电生理学杂志 . 2013(04)

心电学技术[M]. 山东大学出版社 , 全国卫生专业技术资格考试专家委员会, 2005

Clinical Correlates and Prognostic Significance of Exercise-Induced Ventricular Premature Beats in the Community: The Framingham Heart Study [J] . Ali Morshedi-Meibodi,Jane C. Evans,Daniel Levy,Martin G. Larson,Ramachandran S. Vasan. Circulation: Journal of the American Heart Association . 2004 (20)

Functional and prognostic significance of exercise-induced ventricular arrhythmias in patients with suspected coronary artery disease [J] . Abdou Elhendy,Krishnaswamy Chandrasekaran,Bernard J Gersh,Douglas Mahoney,Kelli N Burger,Patricia A Pellikka. The American Journal of Cardiology . 2002 (2)

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