室性心律失常对老年心力衰竭患者预后的影响  

Prognostic significance of ventricular arrhythmias in aged patients with heart failure

作　　者：杨景宁[1] 林桂珍[1] 肖玉梅[1] 楚建民[2] 王方正[2] 

机构地区：[1]广东茂名市人民医院老年病科,525000 [2]中国医学科学院中国协和医科大学心血管病研究所阜外心血管病医院

出　　处：《中华心律失常学杂志》2002年第4期215-216,共2页Chinese Journal of Cardiac Arrhythmias

摘　　要：目的　探讨室性心律失常对心力衰竭老年患者预后的影响。方法　 180例心力衰竭老年患者行 2 4h动态心电图检查 ,随访 3个月。观察猝死与各种室性心律失常的关系。结果　 16 9例(93 9% )患者有室性心律失常。 2 4h >10 0 0个室性早搏 (PVCs)者 6 9例 (38 3% ) ,多形PVCs 34例(18 9% ) ,成对PVCs 6 6例 (36 7% )。非持续性室性心动过速 81例 (45 0 % ) ,随访 3个月 7例发生猝死 ,无心动过速的患者猝死 1例。Ojective To observe the incidence and significance of ventricular arrhythmias in aged patients with heart failure.Methods One hundred and eighty patients were included in the study,the criteria for diagnosis of heart failure were based on clinical and echocardiography findings.Holter monitoring was performed at the time of entry into the study.Results Frequent ventricular premature contraction(PVCs)(>1000/24 hours)were seen in 38 3% patients,multiform PVCs were seen in 18 9% patients,ventricular couplets were seen in 36 7% patients,45% patients had nonsustained ventricular tachycardia and 7 died suddenly.One patient without nonsustained ventricular tachycardia also died suddenly.Conclusion The aged heart failure patients with frequent episodes of nonsustained ventricular tachycardia detected by 24 hour Holter monitoring are at high risk of sudden death.

关 键 词：室性心律失常 心力衰竭 预后 心脏性猝死 老年人 

分 类 号：R541.6[医药卫生—心血管疾病] R541.7[医药卫生—内科学]