摘要
目的探讨动态心电图在老年性心律失常中的诊断价值。方法分析了118例60岁以上患者24h动态心电图结果及临床资料。根据临床诊断分为器质性(A)组82例,非器质性(B)组36例。结果 118例患者全部(100%)出现心律失常,且A组以室性心律失常为主,B组以房性心律失常为主,两组均有Ⅰ度房室阻滞,Ⅱ度房室阻滞,窦性心动过缓等缓慢性心律失常发生。其中一种心律失常21例(17.8%),两种心律失常62例(52.5%),三种及以上心律失常35例(29.7%)。结论老年性心律失常发病率高,动态心电图对老年性心律失常诊断无创,有效、方便,重复性好。既能提高诊断率,也能指导临床,对60岁以上老人应尽早常规开展动态心电图检查,积极预防老年患者心脏性猝死。
Objective To investigate the diagnostic value of dynamic electrocardiogram in the elderly arrhythmia. Methods The 24-hour dynamic ECG results and clinical information of 118 patients over the age of 60 were analyzed. The patients were divided into the organic group（A）with 82 patients and the non-organic group（B）with 36 patients. Results All the 118 patients（100%）underwent arrhythmia,of which group A was mainly ventrieular arrhythmia and group B was mainly atrial arrhythmia.Both groups had bradyarrhythmias such as first-grade atrioventricular block,second-grade atrioventricular and sinus bradycardia.Twenty-one patients （17.8%）had 1 type of arrhythmia,62 patients（52.5%）had 2 types of arrhythmia and 35 patients（29.7%）had no less than 3 types of arrhythmia. Conclusion The morbidity rate of elderly arrhythmia is high.Dynamic ECG is non-invasive, effective,convenient and repeatable in the diagnosis of elderly arrhythmia,which can not only improve the diagnosis rate,but also guide clinical practice.The dynamic ECG examination should be implemented as early as possible among elderly people over the age of 60 in order to prevent sudden cardiac death.
出处
《中国医药科学》
2013年第5期181-182,204,共3页
China Medicine And Pharmacy
