老年、青年急性心肌梗塞临床心电图特点对比研究  

CONTRAST STUDY ON CHARACTERISTIC OF CLINICAL ELECTROCARDIOGRAM OF ACWTE MYOCARDIAL INFARCTION IN OLD AND YOUNG PERSON

作　　者：那桂萍 周英 何宁 付刚 王淑华 普素 杨春秀 

机构地区：[1]武警河北总队医院特检科

出　　处：《现代电生理学杂志》2003年第4期200-201,共2页Journal of Modern Electrophysiology

摘　　要：目的:探讨82例老年、青年心肌梗塞心电图的临床特点。方法:应用心电图检查对两组临床证实的心肌梗塞病人进行对比观察分析。结果:老年人发生心肌梗塞时有典型心前区疼痛者仅占51.9％,远低于青年组83.3％。老年组多部位心肌梗塞者占28.8％,明显高于青年组13.3％。老年组无Q波型心肌梗塞者占44.2％,明显高于青年组13.3％,两组相比差异有显著性意义。结论:老年和青年组心肌梗塞比较,老年组病人,临床症状、心电图不典型,易误诊、漏诊,临床上必须针对病情,结合病史,动态观察,做好综合判断,达到早期诊断,早期治疗。Objective: To explore clinical charateristic of electrocardiogram in 82 old and young pa- lients with myocardial infarction. Methods: Electrocardiogram of two groups of patients with myocardial infarction was examined and contrasted and analysed. Results: The incidence of typical precardial pain of old patients with myocardial infarction was 51.9% , which was obvious lower than 83.3% of young group. The incidence of multiple infarction in old group was 28.8% , which was obvious higher than 13.3% of young group. The incidence of infarction without Q wave in old group was 44.2% , which was obvious higher than 13.3% of young group. The difference between old group and young group was obvious. Conclusion: In comparison of myocardial infarction between old and young group, clinical synptoms and electrocardiogram were atypical in old group so were onisdiagnosed . In old patient, patient's condition and medical history must be observed dynamically so were diagnosed and treated early.

关 键 词：老年 青年 急性心肌梗塞 心电图 

分 类 号：R542.22[医药卫生—心血管疾病] R540.41[医药卫生—内科学]