摘要
１５７例老年人充血性心力衰竭的临床资料分析，发现①老年组随着心功能减退的逐渐加重，室性心律失常的发生率也越高，低血钾时更明显（Ｘ２＝６．４６，Ｐ＜０．０５）；②冠心病和扩张型心肌病比高心病和风心病更容易发生低血钾和室性早搏。认为低血钾和心功能的恶化是老年人心力衰竭时室性心律失常的主要原因。建议积极改善心功能状态和纠正电解质紊乱，从而减少室性心律失常的发生，改善病人的预后。
The relationship between ventricular arrhythmia and congestive heart failure was studied in 157 elderly petients.We found that:(1)the worse the eardiac function is, the easier ventricular arrhythmia occurs;(2)in coronary heart disease and dilated cardiomyopathy,ventricular arrhythmia and hypokalemia occur more easily than in hypertensive heart disease and rheumatic heart disease.We think that poor cardiac function and hypokalemia are major causes of ventricular arrhythmia in elders with congestive heart failure.We suggest that measures to improve cardiac function and correction of electrolyte disturbance may deerease the incidence of ventricular arrhythmia and improve the patient's prognosis.
出处
《上海医科大学学报》
CSCD
1994年第2期113-116,共4页
Journal of Fudan University(Medical Science)
关键词
心力衰竭
室性
心律失常
低钾血症
congestive heart failure
ventricudar arrhythmia
hypokalemia
elder
