NGHIÊN CỨU RỐI LOẠN NHỊP TIM TRÊN HOLTER ĐIỆN TÂM ĐỒ 24 GIỜ VÀ MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN RỐI LOẠN NHỊP THẤT Ở BỆNH NHÂN SUY TIM MẤT BÙ CẤP

Abstract

  Background: Arrhythmia in patients with acute heart failure is very common and closely related. The diagnosis identifies associated arrhythmias and related factors that play an important role in the treatment, prognosis and minimizing the likelihood of disease progression. Objectives: To determine the rate and types of arrhythmias on 24-hour ECG Holter, to learn some factors related to ventricular arrhythmias in patients with acute decompensated heart failure in General Hospital Central of Can Tho in 2018-2020. Materials and methods: cross-sectional descriptive study of 58 patients admitted to the Heart Center of Can Tho Central General Hospital from March 2018 to May 2020. Results: heart failure with arrhythmia accounted for 98.3%, of which ventricular arrhythmia 63.8%, sinus tachycardia 10.3%, atrial fibrillation 22.4%, atrial tachycardia 15.5%, atrioventricular nodal reentrant tachycardia 1.7%, slow sinus 6.9%, atrial premature beats 37.9%, premature ventricular complexes 63.8%, ventricular tachycardia 5.2%. Risk of ventricular arrhythmias increases with decreased ejection fraction EF, increased LVDd, LVDs and NTproBNP. Conclusion: Heart failure mostly has arrhythmias. Ejection fraction (EF), LVDd, LVDs and NT-proBNP were associated with statistically significant ventricular arrhythmias.