Multiple Risk Factors Of Premature Beat Sex Arrhythmia Preliminary Study

Background:cardiac arrhythmias are common cardiovascular disease clinical manifestations, not only can occur in patients with organic heart disease such as myocardial ischemia, chronic heart failure, myocardial hypertrophy, can also occur in the heart without obvious organic disease patients, is a serious threat to human health. The disease can aggravate the heart base lesions can also be caused by patient hemodynamic disorders, especially ventricular heartbeat tachycardia, ventricular fibrillation, malignant arrhythmias, not only can aggravate preexisting cardiac disease, also can induce cardiogenic sudden death, has become one of the main causes of death. While serious ventricular arrhythmia such as atrial fibrillation, will cause the formation of cerebral thrombosis, so that the occurrence of stroke, ultimately disabling. While the beat arrhythmias (including atrial premature, premature ventricular, atrial fibrillation) is the most common arrhythmia in clinical types, according to the Dongzhimen hospital in recent months investigation indicates, its incidence at around30%(including outpatient clinics and wards).Research purposes:Premature sex arrhythmia cardiovascular patients multiple risk factors of varieties, the combination of traditional Chinese medical syndrome, and its and produce rhythm of the heart wrong mechanism for Preliminary research.Test one:from the multiple risk factors for cardiovascular disease in clinical pathology analysis of arrhythmia complicated1.Methods:patients of premature beat system for the collection of clinical data and ultrasound heartbeat graph and dynamic electrocardiogram analysis in time domain, the patient diagnosis of traditional Chinese medicine and Western Medicine on patient diagnosis, syndrome of traditional Chinese medicine clinical collection, and these data were collated. Ultrasonic heartbeat (statistical indexes of left ventricular diastolic diameter, left ventricular systolic diameter, left ventricular posterior wall thickness, thickness of interventricular septum, left atrial diameter and left ventricular mass index). Statistical methods:the SPSS Statistics version17software in single sample t test.2.Results:Traditional Chinese medicine dialectical58patients, most see heart deficiency syndrome for55cases, deficiency syndrome25cases, blood stasis syndrome46cases of deficiency syndrome22cases of liver, kidney empty card of17cases, quality of red tongue,33cases were dark52cases with the tongue,58cases of19cases "pulse or generation pulse, string pulse37cases. Western medicine diagnosis:patients diagnosed in the rhythm of the heart wrong patients have47cases with hypertension, prevalence of approximately85.5. In the case of income of about20.8%with abnormal blood glucose glucose abnormalities which accounted for arrhythmia in35%, and abnormal blood glucose for ventricular arrhythmia in9.3%. In the income of about43.1%of the patients with dyslipidemia. Rhythm of the heart wrong patient left ventricular diastolic diameter increase significantly, left ventricular shrink diameter also increased, but not very clear, left after front diameter are increased. Significant ventricular septal thickening, left ventricular wall after the markedly thickened. The time domain analysis RMSSD in significant increase trend.3.discussion and conclusion:the results from the above we can see beats arrhythmia patients of syndromes of traditional Chinese medicine dialectical, the majority has the deficiency, blood stasis, nearly half of the patients with Qi deficiency, so we through clinical arrhythmia of patients’disease and syndrome in TCM investigation, obtains the heart qi deficiency and blood stasis syndrome is a cardiac arrhythmia common patient symptoms than patients, l/3patients with liver deficiency, nearly1/3of the patients with kidney deficiency, thus we can draw the arrhythmia patients often accompanied by hepatic asthenia and kidney deficiency, from the result we can see that the patient has almost dark tongue, nearly2/3of patients with red tongue, pulse phase more than2/3shows taut pulse, and another1/3for abrupt pulse, knotted or slow arrhythmia, special pulse.From the above results can be seen in patients with hypertension ventricular arrhythmias in a large amount, hypertension, arrhythmias occurred at a higher rate, that hypertensive patients are more susceptible to cardiac arrhythmias, atrial premature beats and to see more most. The reason lies in the hypertensive heart disease in left ventricular and left atrial enlargement before early atrial electrophysiological characteristics change; left atrium enlargement caused by atrial fibers stretch, thereby generating the arrhythmogenic foci.Experiment two:from clinical electrophysiological P wave dispersion and QT dispersion analysis of arrhythmia1.methods:collection and analysis of the test and ventricular premature beats patients. Measurement of P wave dispersion, dispersion degree of QT, to study whether it constitutes a risk factor and influence degree and regularity. Statistical methods:the SPSS Statistics version16software in two independent samples t test.2.Results:patients with ventricular arrhythmia of QT corrected dispersion increases apparently, atrial arrhythmias increase obviously with the increase of P wave dispersion.3:discussion and conclusion:Atrial premature patient calibration P wave dispersion ratio increase significantly, ventricular premature the patient’s QT discrete degree increase significantly.Experiment three:the combination of multiple risk factors for cardiovascular disease with integrated traditional Chinese and Western medicine treatment for patients with arrhythmia treatment observation 1.methods:Combining multiple risk factors for cardiovascular disease prevention and control of combining traditional Chinese and western medicine, for arrhythmia48patients treatment observation:attention to the organic heart disease patients in the sympathetic,parasympathetic balance and correct rhythm of the heart wrong drug combination. To implement qualitative sex arrhythmia patients, focus on multiple risk factors and Special disease specialist treatment. Effective and invalid cases judge, to the improvement of the Holter before and after treatment results and the complaints of the patient joint judgement.2.Results:Multiple risk factors for patients to treatment control, and carries on the combine traditional Chinese and western medicine treatment, received good curative effect. In the treatment of6cases of organic heart disease patients with arrhythmia were2cases is invalid, organic heart disease patients atrial premature26cases,4cases is invalid, accounts for about the overall patients20%. Ventricular premature of organic heart disease patients27, all patients were effective.3:discussion and conclusion:The treatment will more mechanism arrhythmias:specimen together cure, nasty, take temporary solution, slow is fundamental. The control room of the law of AF strategy, to paroxysmal AF in comprehensive treatment cardiovascular disease risk factors and multiple, western and traditional Chinese medicine turn rate of treatment. For persistent or permanent af patients, the comprehensive treatment multiple risk factors and at the same time, pay attention to the anticoagulation. The forward prevention treatment focuses on causes and resisting myocardial reconstruction. Simply take temporary solution or "this" are hard to correct rhythm of the heart wrong. Application of traditional Chinese medicine with western medicine above a variety of pathological target treatment, can receive the good effect.