静息心率与老年冠心病关系的研究  

Relationship between resting heart rate and coronary heart disease in elderly people

作　　者：戴华[1] 苗德军[2] 赵黎明[1] 吴青[1] 冯长顺[1] 

机构地区：[1]解放军总医院干部诊疗科,北京100853 [2]解放军总医院政治部干部处,北京100853

出　　处：《中华老年心脑血管病杂志》2012年第9期937-938,共2页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

摘　　要：目的探讨静息心率对冠心痛发生的预测价值及临床意义。方法选择老年冠心病患者429例为冠心病组,另选同期体检的非冠心病患者60例为非冠心病组。2组患者均测量血压及生化指标检测,并行12导联心电图检查,分析静息心率与冠心病发生是否存在相关性。结果冠心病组的收缩压、TC、TG、LDL-C、静息心率明显高于非冠心痛组(P<0.05,P<0.01)。logistic回归分析显示,校正了舒张压、TC、HDL-C、LDL-C、空腹血糖等因素后,静息心率、收缩压、TG是冠心病的独立危险因素(OR=1.046,95%CI:1.005～1.088,P<0.05)。结论静息心率是冠心病发病的独立危险因素。Objective To study the predictive value of resting heart rate（RHR） for coronary heart disease（CHD） and its clinical significance. Methods Four hundred and twenty-nine elderly CHD patients served as a CHD group and 60 non-CHD patients served as a non-CHD group in this study. Correlation between RHR and CHD was analyzed according to their 12-lead electrocardio- graphic findings. Results The SBP, TC, TG, LDL-C, RHR levels were significantly higher in CHD group than in non-CHD group（P〈0.05,P〈0.01）. Logistic regression analysis revealed that the RHR,SBP and TG levels were the independent risk factors for CHD after the adjustment of DBP and serum TC, HDL-C, LDL-C and fasting blood glucose levels （OR = 1. 046,95% CI. 1. 005--1. 088,P〈0.05）. Conclusion RHR is an independent risk factor for CHD.

关 键 词：冠心病 心率 心电描记术 冠状血管造影术 危险因素 

分 类 号：R541.4[医药卫生—心血管疾病]