阵发性室上性心动过速性别、年龄的差异:单中心结果  

Gender and age differences of paroxysmal supraventricular tachycardia:single-center results

作　　者：王婷[1] 张树龙[1] 臧小彪[1] 龙广宇[1] 江雪[1] 常栋[1] 尹晓盟[1] 董颖雪[1] 夏云龙[1] 高连君[1] 杨延宗[1] 

机构地区：[1]大连医科大学附属第一医院心内科,辽宁大连100044

出　　处：《中国心脏起搏与心电生理杂志》2013年第3期219-221,共3页Chinese Journal of Cardiac Pacing and Electrophysiology

摘　　要：目的探讨不同类型阵发性室上性心动过速(PSVT)发病情况与性别、年龄的关系。方法收集1 578例因心动过速时自觉心悸而在本院经电生理检查诊断的PSVT患者的临床资料,分析不同类型PSVT发病情况与性别、年龄的关系。结果①房室折返性心动过速(AVRT)较房室结折返性心动过速(AVNRT)更多见(58.7%vs41.3%),男性在AVRT的发病中占优势,约是女性的1.5倍。女性AVNRT更多见,约是男性的1.5倍。②AVNRT平均发病年龄无论是男性还是女性都明显大于AVRT的发病年龄(P<0.001)。显性旁道介导的AVRT平均发病年龄较隐匿性旁道介导者更小,其显著差异也不受性别的影响。③AVRT尤其是显性旁道介导的AVRT似乎更容易受性别和年龄的影响,女性AVRT发病存在两个高峰时间段:12～16岁和32～44岁。男性直到16～20岁左右才形成发病高峰,之后直到56岁基本保持每个年龄阶段相似的发病例数。结论不同类型PSVT发病情况受性别、年龄影响不同。显性旁道介导的AVRT受性别和年龄的影响较大。Objective To study the gender and age differences in various paroxysmal supraventricular tachycardia （PSVT）. Methods The study included 1 578 patients with consciously palpitations due to PSVT and confirmed by electrophysiological study and radiofrequency ablation in our center[ including atrioventricular nodal reentrant tachycardia （AVNRT） or bypass mediated atrioventricular reentrant tachycardia（AVRT） ]. Clinical data such as gender, type of disease, age at onset, age at surgery, associated with other types of arrhythmias were collected. Results Women with PSVT had a higher incidence of AVNRT. By contrast, man had a higher incidence of AVRT, especially the manifest accessory pathway. The average age of onset with different types of PSVT was different. The average onset age of AVNRT was greater than AVRT （ P〈0. 001 ）. And it appeared the same in concealed accessory pathway group compared with the manifest accessory pathway group. No gender difference was noted in average age of onset. The AVRT seemed to be more susceptible to the effects of gender and age, AVRT existed two peak periods in female： 12 to 16 years old and 32 to 44 years old. But in male, the former peak period was during 16 to 20 years old and the number of cases significantly reduced after 56 years old. However, AVNRT did not have these characteristics. Conclusion The proportion of different types of PSVT affect by gender. The peak age of onset differ from sex.

关 键 词：心血管病学 阵发性室上性心动过速 房室折返性心动过速 房室结阵发性心动过速 发病年龄 性别差异 

分 类 号：R541.71[医药卫生—心血管疾病]