| 老年人非风湿性心房颤动伴发缺血性脑卒中的相关因素分析 |
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| 引用本文： | 缪东培,何述莉,吕磊,徐军. 老年人非风湿性心房颤动伴发缺血性脑卒中的相关因素分析[J]. 解放军保健医学杂志, 2009, 0(1): 12-14 |
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| 作者姓名： | 缪东培 何述莉 吕磊 徐军 |
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| 作者单位： | 南京军区南京总医院心内科;江苏省军区第四干休所; |
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| 摘 要： | 目的研究老年人非风湿性心房颤动（NRAF）的临床特点和NRAF伴发缺血性脑卒中的相关因素。方法回顾性分析240例NRAF老年患者的心电图、超声心动图、颈动脉彩色多普勒超声、头颅CT或磁共振等检查及临床资料。结果卒中组高血压的患病率高于非卒中组（69.39％VS52．36％，P〈0．05）；卒中组糖尿病合并高血压的患病率高于非卒中组（22.45％VS10．47％，P〈0．05）；持续性房颤患者卒中的发生率高于阵发性房颤者（24．82％VS14．14％，P〈0．05）；颈动脉有粥样硬化斑块者卒中的发生率高于无斑块者（26．26％VS10．53％，P〈0．05）；在119例轻度左房增大（内径31-40mm）患者中，二尖瓣返流（MR）者卒中发生率显著低于无MR者（4．76％VS26．53％．P〈0．05）。结论老年人NRAF伴缺血性脑卒中的独立危险因素包括：高龄、高血压、颈动脉粥样硬化斑块、糖尿病合并高血压和持续性房颤，轻度左房增大伴MR的NRAF患者缺血性脑卒中发生率较低。
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| 关 键 词： | 心房颤动 缺血性脑卒中 高血压 二尖瓣返流 |
Relationship of stroke with nonrheumatic atrial fibrillation in elderly patients |
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| MIAO Dongpei,HE Suli,L Lei,XU Jun. Relationship of stroke with nonrheumatic atrial fibrillation in elderly patients[J]. Journal Of Health Care And Medicine in Chinese Pla, 2009, 0(1): 12-14 |
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| Authors: | MIAO Dongpei HE Suli L Lei XU Jun |
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| Affiliation: | Department of Cardiology;Nanjing General Hospital of Nanjing Military Command;PLA;Nanjing 210002;China |
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| Abstract: | Objective To evaluate clinical feature and relationship of stroke with nonrheumatic atrial fibrillation(NRAF)in elderly patients.Methods 240 elderly patients of NRAF were retrospectively analysized.Univariate and multivariate analyses were assessed in electrocardiogram,transthoracic echocardiography,carotid artery of color Dopper ultrasonography,head CT(or magnetic resonance imaging)and other clinical data.Results Incidence of hypertension in group of stroke was higher than that in group of non-stroke(69.39... |
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| Keywords: | Artrial fibrillation Stroke Hypertension Mitral regurgitation |
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