摘要
目的掌握云南不明原因猝死(简称云南猝死)重点病区人群心电图及超声心动图检查情况。方法2014-2022年,每年5-10月对云南猝死重点病区人群(同发病例、病例亲属、病村村民和对照人群)进行心电图检查,并对病例亲属和病村村民进行超声心动图检查,整理分析心电图和超声心动图改变类型。结果分别对1例同发病例、241例病例亲属、464例病村村民和99例对照人群进行心电图检查,同发病例心电图改变类型为Q-T间期延长、窦性心动过速;病例亲属中共检出17种心电图改变类型,主要包括窦性心律不齐(12.45%,30/241)、窦性心动过缓(11.20%,27/241)、电轴左偏(8.30%,20/241)等;病村村民中共检出21种心电图改变类型,主要包括电轴左偏(9.48%,44/464)、窦性心动过缓(8.19%,38/464)、T波异常(7.76%,36/464)等;对照人群中共检出10种心电图改变类型,主要包括窦性心律不齐(12.12%,12/99)、T波异常(9.09%,9/99)、窦性心动过缓(7.07%,7/99)等。分别对49例病例亲属和365例病村村民进行超声心动图检查,病例亲属中共检出12种超声心动图改变类型,主要包括三尖瓣反流(18.37%,9/49),右室舒张功能减低(8.16%,4/49),主动脉瓣反流、房间隔缺损(均为6.12%,3/49)等;病村村民中共检出15种超声心动图改变类型,主要包括三尖瓣反流(8.77%,32/365)、主动脉瓣反流(6.85%,25/365)、左室舒张功能减低(6.58%,24/365)等。结论云南猝死重点病区人群的心电图和超声心动图改变类型较多。
Objective To understand the electrocardiogram and echocardiography examination results of population in key areas of unexplained sudden death in Yunnan Province(referred to as Yunnan sudden death).Methods From 2014 to 2022,electrocardiogram examination was performed on population(including same incident cases,relatives of the cases,villagers of the affected villages,and control individuals)in key areas of Yunnan sudden death from May to October each year.Echocardiography examination was performed on relatives of the cases and villagers of the affected villages,and the types of electrocardiogram and echocardiography changes were sorted out and analyzed.Results Electrocardiogram examination was conducted on 1 same incident case,241 relatives of the cases,464 villagers of the affected villages,and 99 control individuals,respectively.The types of electrocardiogram changes in the same incident case were Q-T interval prolongation and sinus tachycardia.A total of 17 types of electrocardiogram changes were detected in the relatives of the cases,mainly including sinus arrhythmia(12.45%,30/241),sinus bradycardia(11.20%,27/241),and left axis deviation(8.30%,20/241).A total of 21 types of electrocardiogram changes were detected in the villagers of the affected villages,mainly including left axis deviation(9.48%,44/464),sinus bradycardia(8.19%,38/464),and T-wave abnormalities(7.76%,36/464).A total of 10 types of electrocardiogram changes were detected in the control individuals,mainly including sinus arrhythmia(12.12%,12/99),T-wave abnormalities(9.09%,9/99),and sinus bradycardia(7.07%,7/99).Echocardiography examination was conducted on 49 relatives of the cases and 365 villagers of the affected villages,respectively.A total of 12 types of echocardiography changes were detected in the relatives of the cases,mainly including tricuspid regurgitation(18.37%,9/49),decreased right ventricular diastolic function(8.16%,4/49),aortic regurgitation(6.12%,3/49),and atrial septal defect(6.12%,3/49).A total of 15 types of echocardiography changes were detected in the villagers of the affected villages,mainly including tricuspid regurgitation(8.77%,32/365),aortic regurgitation(6.85%,25/365),and decreased left ventricular diastolic function(6.58%,24/365).Conclusion There are many types of changes in electrocardiogram and echocardiography in the population of key areas of Yunnan sudden death.
作者
刘莹
王跃兵
习严梅
马琳
唐雪
孙梦遥
杨永鹏
Liu Ying;Wang Yuebing;Xi Yanmei;Ma Lin;Tang Xue;Sun Mengyao;Yang Yongpeng(School of Public Health,Dali University,Dali 671000,China;Yunnan Provincial Key Laboratory of Natural Epidemic Disease Prevention and Control Technology,Yunnan Institute for Endemic Disease Control and Prevention,Dali 671000,China)
出处
《中华地方病学杂志》
CAS
北大核心
2024年第3期202-206,共5页
Chinese Journal of Endemiology
基金
国家自然科学基金项目(81960573)
云南省技术创新人才培养对象项目(202405AD350026)
云南省科技厅应用基础研究计划青年项目(2018FD111)
徐建国院士工作站项目(2019YS08)
云南省地方病防治所青年人才资助培养计划(YIEDC-G202104)
关键词
云南不明原因猝死
心电图
超声心动图
Unexplained sudden death in Yunnan Province
Electrocardiogram
Echocardiography
作者简介
通信作者:王跃兵,Email:yiedewyb@163.com
