80岁以上高龄住院者心律失常状况评价  

The Analysis of the Dynamic Electrocardiogram of Elderly Patients with Arrhythmia

作　　者：武文波[1] 赵莉[1] 邵玉薇[1] 闫胜敏[1] 

机构地区：[1]河北省保定市第一医院,071000

出　　处：《实用心电学杂志》2010年第3期175-176,共2页Journal of Practical Electrocardiology

摘　　要：目的了解80岁以上高龄住院患者心律失常的特点。方法分析568例住院的80岁以上高龄患者的动态心电图(DCG)。结果患者24 h心律失常的发生率较高,尤其是室性心律失常为370例(65.14%);复杂性室性心律失常272例(47.89%);房性心律失常289例(50.88%);复杂性房性心律失常233例(41.02%);窦性心律失常98例(17.25%);房室及束支阻滞235例(41.37%),心律失常的种类与所患疾病有显著关系。结论 80岁以上高龄住院患者应常规行DCG检查,可及早发现各种恶性心律失常,预防猝死及手术意外。Objective To observe the character of arrhythmia among the elderly patients above eighty. Methods The dynamic electrocardiogram(DCG) of 568 elderly patients were analysed. Results The incidence of arrhythmia of the elderly patients in 24 h were rather high,the number of ventricular arrhythmia was 370(65.14%),the complicated ventricular arrhythmia was 272(47.89%),atrial arrhythmia is 289(50.88%),the complicated atrial arrhythmia was 233(41.02%) and sinus arrhythmia was 98(17.25%),atrial-ventricular and bundle branch block was 235(41.37%).There was a significant relationship between the number of arrhythmia and the variety of the diseases that the patients had. Conclusion The patients above eighty should take DCG routinely,so that the malignant arrhythmia could be found earlier,and prevent sudden death and operation accident.

关 键 词：动态心电图 心律失常 高龄 

分 类 号：R541.7[医药卫生—心血管疾病]