患有心房的患者中P波异常的发生率和进展
Arto Relander1, Johanna Kääriä1, Samuli Jaakkola1
1Heart Center, Turku University Hospital and University of Turku, Turku, Finland.
Heart rhythm
|August 31, 2025
概括
由于衰老和心血管问题,P波异常 (PWA) 是常见的,在心房患者中迅速进展. 这些心电图变化表明AF的高患病率和进展率.
科学领域:
- 心脏病学
- 电心电图
背景情况:
- 电心电图 (ECG) 上的P波指数与心血管疾病如心房动 (AF) 和中风有关.
- 关于这些P波异常 (PWA) 的稳定性和进展的数据有限.
研究的目的:
- 研究心房的患者中P波异常 (PWA) 的流行,进展和危险因素.
主要方法:
- 分析了1316名接受心脏转移 (CV) 的人的3个鼻腔节律心电图.
- 根据P波持续时间,P终端力,心腔间阻塞标准和P波形态定义了中等和广泛的PWA.
主要成果:
- 在心脏转变前和之后,从正常的P波转变为中度和广泛的PWA.
- 在随访时,38. 7%的患者有中度PWA,33. 5%的患者有广泛PWA.
- 持续性/ 渐进性PWA的独立风险因素包括年龄,心力衰竭,高血压,血管疾病,先前的AF,频繁的CV,左心室缩和广泛的QRS复杂.
结论:
- 在AF患者中,P波异常 (PWA) 非常普遍,并且进展迅速.
- 主要受到老龄化,慢性心血管疾病和复发性肌肉衰竭的影响.
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