部分医院住院患者心律失常类型调查

目的 了解住院患者中不同类型心律失常的分布状况.方法选取全国22家省级医院,收集2007年1月1日至2007年6月30日间心内科(循环内科)住院患者资料.调查对象为年龄≥18岁且出院诊断含有心律失常的患者.结果 可用于分析的病历资料6122份.心内科住院患者中心律失常占26.8%.所有心律失常患者中,心房颤动所占比例最高(35.0%),其次为阵发性室上性心动过速、病态窦房结综合征和室性早搏,分别为28.0%、11.9%和11.6%.除病态窦房结综合征、室性心动过速、室性早搏和阵发性室上性心动过速外,其余都是男性高于女性.大多数心律失常随年龄增加而增加,年轻人阵发性室上性心动过速比例最高(60.4%),老年人心房颤动比例最高(44.7%).心律失常患者中,38%伴有高血压,24.7%伴冠心病、10.2%伴瓣膜病.结论 住院患者中心律失常的类型以心房颤动为主,合并高血压的比例较高.

Arrhythmias among hospitalized patients in major parts of China

Objective To investigate the distribution of arrhythmia among hospitalized patients in ma-jor parts of China. Methods A total of 6122 patients aged 18 years old or more with diagnosis of arrhythmia were collected from 22 provincial-level hospitals across China using standard questionnaire, when they were ad-mitted during January 1,2007 to June 30,2007. Results The proportion of patients with diagnosis of arrhyth-mia among the total patients in department of cardiology was 26.8%. Among arrhythmia, the atria fibrillation (AF) was the highest(35.0%), that of paroxysmal superventricular tachycardia (PSVT), sick sinus syndrome (SSS), premature ventricular beat (PVB) was 28.0%, 11.9% and 11.6%, respectively. The SSS, ventricular tachycardia,PSVT were higher among women than ones among men. Most of these arrhythmias increased with age. PSVT (60.4%)was the highest in young, while AF (44.7%)in elder. Among the patients with arrhythmia, 38% of them were with hypertension,24.7% with coronary artery disease,and 10.2% with cardiac valve dis-ease. Conclusion Among the hospitalized patients, atria fibrillation was the major arrhythmia, most of the pa-tients had hypertension.