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老年常见慢性病患者心脏各部位室性早搏发生率的差异
引用本文:吕聪敏,张振香. 老年常见慢性病患者心脏各部位室性早搏发生率的差异[J]. 中国慢性病预防与控制, 2010, 18(1): 59-60
作者姓名:吕聪敏  张振香
作者单位:1. 郑州大学第二附属医院,心电图科,河南,郑州,450014
2. 郑州大学护理学院,河南,郑州,450052
摘    要:目的研究老年冠心病、高血压、糖尿病患者心脏各起源部位室性早搏发生率的差异。方法选择12导联同步动态心电图检测的603例老年室性早搏患者,其中冠心病患者246例,高血压患者109例,糖尿病患者126例,无内分泌及心脑血管疾病的常规体检者(对照组)122例,计算不同起源部位室性早搏发生率,进行对比分析。结果冠心病组、高血压组、糖尿病组总左心室早搏发生率、左心室前壁及心尖部早搏发生率高于对照组(P0.05),其中冠心病组左心室前壁早搏发生率高于其他各组(P0.05);高血压组右心室心尖部早搏发生率高于其他各组(P0.05);对照组右心室流出道和总右心室早搏发生率高于其他各组(P0.05)。结论老年人室性早搏发生部位及发生率与所患慢性病有关。

关 键 词:老年人  室性早搏  冠心病  高血压  糖尿病

Study on the Occurrence Rates of Premature Ventricular Beats from Different Original Positions of Ventricles in Common Chronic Diseases in Old People
LV Cong-min,ZHANG Zhen-xiang. Study on the Occurrence Rates of Premature Ventricular Beats from Different Original Positions of Ventricles in Common Chronic Diseases in Old People[J]. Chinese Journal of Prevention and Control of Chronic Non-Communicable Diseases, 2010, 18(1): 59-60
Authors:LV Cong-min  ZHANG Zhen-xiang
Affiliation:. (Department of ECG, the Second Affiliated Hospital of Zhengzhou University, Zhengzhou 450014, China )
Abstract:Objective To study on the occurrence rates of premature ventricular beats from different original positions of ventricles in coronary artery disease (CAD), hypertension and diabetes mellitus (DM) in old people. Methods The synchronism 12-leads monitoring electrocardiograms was used to examine 603 of old patients with premature ventricular beats, including 246 cases with CAD, 109 cases with hypertension, 126 cases with DM and 122 cases of routine health exeamination, calculate the incidence rates of ventricular premature beat from each original position in the each group. Results In CAD, DM and hypertension the incidence rate of ventricular premature beat from left ventricular, left ventricle anterior wall and left ventricular apex was significant higher than that in the health (P〈0.05). In CAD the incidence rate ofventricular premature beat from left ventricular anterior wall was significant higher than that in the other groups (P〈0.05). In hypertension the incidence rate of ventricular premature beat from right ventricler apex was significant higher than that in the other groups (P〈0.05).In the routine health exeamination group ,the incidence rate of ventricular premature beat from the right ventricular outflow and right ventricular was significant higher than that in the other groups (P〈0.05). Conclusion The original positions and the incidence rates of ventricular premature beats was different in different clinical diseases in old people, which was concerned with the clinical diseases.
Keywords:Old people  Ventricular premature beat  Coronary artery disease  Hypertension  Diabetes mellitus
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