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目的探讨病态窦房结综合征患者动态心电图特征及其临床意义。方法对232例动态心电图进行回顾性分析,依据动态心电图特征进行分型。结果Ⅰ型(持续而严重的窦性心动过缓)37例,Ⅱ型(窦性心动过缓伴窦性停搏或窦房阻滞)70例,Ⅲ型(慢-快综合征)52例,Ⅳ型(双结病变)73例。结论植入合适的永久人工心脏起搏器,对病态窦房结综合征患者可起到积极良好的治疗作用。
Objective To investigate the characteristics of ambulatory electrocardiogram in patients with sick sinus syndrome and its clinical significance. Methods 232 cases of Holter were retrospectively analyzed and classified according to the characteristics of Holter. Results Type Ⅰ (continuous and severe sinus bradycardia) in 37 cases, type Ⅱ (sinus bradycardia with sinus arrest or sinoatrial block) in 70 cases, type Ⅲ (slow - fast syndrome) in 52 cases , Type Ⅳ (double junction disease) 73 cases. Conclusion Implantation of a suitable permanent cardiac pacemaker can play a positive and therapeutic role in patients with sick sinus syndrome.