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动态心电图对老年及老年前期室性早搏327例分析
引用本文:张亚斋,徐岩,杨玲,章络明,黄婕,陆正伟. 动态心电图对老年及老年前期室性早搏327例分析[J]. 安徽医学, 1988, 0(3)
作者姓名:张亚斋  徐岩  杨玲  章络明  黄婕  陆正伟
作者单位:安徽省立医院,安徽省立医院,安徽省立医院,安徽省立医院,安徽医科大学附属医院,安徽省立医院
摘    要:为分析室性早搏(VPBs),以动态心电图(DCG)监测169例老年人(包括健康者及心脏病者),并以老年前期158例作对照。发现老年期心脏病者频发VPBs(≥100/24h)检出率高于健康者;老年前期频发及复杂VPBs检出率心脏病者高于健康者;心脏病者老年前期复杂VPBs及Ⅴ级VPBs检出率均高于老年期;健康者老年前期VPBs情况与老年期相比则差别不著。还发现健康者VPBs数并无昼夜之差。并讨论了上述结果的可能机制及临床意义。


An Analysis of 327 CaseS of Dynamic Electrocardiography in Premature Ventricular CompleXes in Old Age and Prior to Old Age
Abstract:327 presenile and senile persons with or without heart disease were monitored for 24 hours by means of dynamic electrocardiography. In this study, we found: (1) Persons whether elderly or presenile had a rather high prevalence of ventricular premature beats (VPBs, >50%), and no significant difference between the two age groups. This suggested that aging does not effect the prevalence of VPBs after presenium. (2) After presenium, the complexity and frequency were not effected by aging. (3)Frequent and complicated VPBs were more common in persons with heart diseas han in those without heart disease. (4)Using "bigermy rule" to distinguish presenile or senile persons with heart discase from those without heart disease had very little value. (5)Presenile patients with heart disease had the highest frequency of serious VPBs(complicated or frequent), suggesting we should pay much attention to them.
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