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9thÂ慢性阻塞性肺病与肺国际会议-吉马医学中心收治的慢性阻塞性肺病患者中心律失常的患病率

摘要

心律失常在慢性阻塞性肺病患者中很常见，是发病率和死亡率的主要原因。本研究旨在确定慢性阻塞性肺病患者中心律失常的患病率。2017年5月18日至8月18日，在埃塞俄比亚西南部Jimma镇Jimma医疗中心(JMC)的胸科门诊就诊的COPD患者进行了研究。对12例导联静息卧位心电图进行分析。心电图模式和其他变量的结果输入EPI数据(3.1)，并导出到SPSS(20)进行进一步分析。心律失常发生率占50%，其类型大小分别为窦性心律失常(30%)，具体为[窦性心动过缓(16.3%)、窦性心动过速(8.8%)、窦性心律失常(5.0%)]，具体为异位心律失常(20%)[室性早搏(7.5%)、房颤(6.3%)、房性早搏(3.8%)、房扑(1.3%)、多局性房性心动过速(1.3%)]。传导阻滞性心律失常(23.8%)，特别是束支阻滞(17.5%):完全性右束支传导阻滞(3.8%)、完全性左束支传导阻滞(5%)、不完全性右束支传导阻滞(7.5%)、不完全性左束支传导阻滞(1.3%)、半束性传导阻滞(5%)、房室传导阻滞(1.3%)]，以及QTc间期延长(8.8%)、预激综合征或Wolf Parkinson white综合征(2.5%)等其他心律失常(11.4%)。在就诊时进行常规心电图检查，筛查和早期处理包括心律失常在内的心血管疾病，改善COPD患者预后，这是不可避免的，也是非常常见的。大量研究表明，心血管事件是COPD相关死亡的主要原因，并且有限的证据表明，其中一些事件可能部分由心律失常引起。许多文献解释了继发于茶碱等药物不良反应的COPD患者发生心律失常的机制/因素。 B agonists such as salbutamol steroids anticholinergics due to autonomic cardiac dysfunction or ventricular failure In a healthcare system, especially in our environment that faces competitive priorities, the importance of early and preventive identifications of susceptible conditions cannot be overstated, ideally allowing adequate and cost-effective allocation of resources from the complication of the disease through early screening and early management of systemic complications. One of the screening tests is using a simple tool like the ECG to detect cardiovascular complications, including arrhythmia among COPD patients. So far there are no studies in our setting on the prevalence or burden of cardiac arrhythmias among COPD patients, as even the ECG, a simple tool, is not routinely practiced. Therefore, this study will help establish the burden of the problem, form a basis for future research, and possibly generate recommendations on how to address this problem. Chronic obstructive pulmonary disease (COPD) is a chronic preventable and treatable multisystem disease in which the pulmonary component is characterized by significant limitation of progressive, not fully reversible airflow, often associated with an abnormal inflammatory response of the lung to particles or harmful gases. The best-known and most widely accepted definition is promulgated by the Global Initiative for Chronic Obstructive Pulmonary Disease (COLD), with a post-bronchodilator cutoff of the FEV1 / FVC ratio Wondu Reta Demissie

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