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对58例尿毒症病人心室晚电位(VLP)进行检测并结合临床资料进行分析,结果显示,尿毒症患者的VLP阳性率为15.5%,显著高于正常对照组(0/15);VPL阳性组严重心肌缺血、心功能衰竭、恶性室性心律失常等心脏阳性事件的发生率显著高于VLP阴性组(P<0.01)。随访期间,2例猝死病人生前VLP阳性。提示:VLP检测对尿毒症,尤其是透析患者心脏性猝死具有较高的预测价值。
58 cases of uremia in patients with ventricular late potential (VLP) were detected and combined with clinical data analysis, the results showed that the VLP positive rate of uremic patients was 15.5%, significantly higher than the normal control group (0/15); VPL The incidence of cardiac positive events such as severe myocardial ischemia, heart failure, and malignant ventricular arrhythmia in the positive group was significantly higher than that in the VLP negative group (P <0.01). During the follow-up period, two cases of sudden death were positive for VLP during their lifetime. Tip: VLP test for uremia, especially in patients with sudden cardiac death dialysis has a higher predictive value.