摘要
目的通过24 h动态心电图分析265例老年患者心律失常的发生情况及其特点。方法对解放军255医院2012年1月至2013年1月就诊的265例老年患者的动态心电图进行分析,并将所有患者按年龄分为年轻老年组和老年组,分析两组心律失常发生情况。结果房性期前收缩是老年人最常见的心律失常;老年组一度房室传导阻滞及二度Ⅰ型房室传导阻滞的发生率高于年轻老年组,差异有统计学意义[12.3%vs.4.7%,P=0.028]。老年组房性期前收缩发生率低于年轻老年组,差异有统计学意义[76.1%vs.87.4%,P=0.018]。老年组室性心动过速发生率低于年轻老年组,差异有统计学意义[1.4%vs.7.1%,P=0.022]。结论动态心电图的广泛应用对老年患者心律失常诊断有十分重要的诊断价值。
Objectives To investigate the occurrence and characteristics of cardiac arrhythmia in 265 aged patients by24 hours dynamic electrocardiogram（DCG）. Methods To analyze the results of 265 hospitalized elderly patients who had undergone DCG from January 2012 to January 2013 in 255 Hospital of Chinese People＇s Liberation Army. They were divided into two groups on the basis of natural age ： old group and older group. Occurrence and characteristics of cardiac arrhythmia between the two groups were investigated and compared. Results Premature atrial contraction was the most common arrhythmia in this study. Older group showed a significantly higher incidence rate than old group in terms of first-degree atrioventricular block and second-degree atrioventricular conduction block [12.3% vs. 4.7%, P =0.028 ]. Older group showed a significantly lower occurrence rate than old group in terms of premature atrial contraction and ventricular tachycardia [76.1% vs. 87.4%, P=0.018; 1.4% vs. 7.1%, P =0.022 ]. Conclusions The widely use of DCG is of great value to diagnose cardiac arrhythmia in elderly patients.
出处
《岭南心血管病杂志》
2015年第2期179-181,共3页
South China Journal of Cardiovascular Diseases
关键词
心律失常
动态心电图
老年
cardiac arrhythmia
dynamic electrocardiogram
elderly patients
