成年自然人群临床心电图诊断的现况分析

目的:研究自然人群的异常心电图分布状况,为针对性地防治心血管病提供科学依据。方法:对11620名企事业单位查体人员进行了心电图检查,按性别、年龄将心电图分类统计。结果:正常心电图占69.4%,异常心电图占30.6%。异常心电图较多的有ST-T改变(7.3%)、窦性心动过速(5.6%)、窦性心律不齐(4.4%)、室性早搏(3.4%)、束支传导阻滞(2.0%)、房性早搏(1.8%);除预激综合征外,其他异常心电图都是男性多于女性;多数异常心电图的检出率随年龄增加而增加,但窦性心动过速、窦性心律不齐、病窦综合征随年龄增加而减少,窦性心动过缓和预激综合征的检出率与年龄呈"杓形"关系;在异常心电图人群中,有约1/2的人合并2种或2种以上的心电图改变,最常见的是缺血性ST-T改变合并室性早搏或传导阻滞。结论:异常心电图的发生率较高,男性异常心电图发生率高于女性,异常心电图发生率一般随年龄的增高而增高。

Analysis of clinical electrocardiogram in Adults Department

Objective To study the distribution of clinical ECG(electrocardiogram)in adults and provide scientific basis for prevention and control of cardiovascular diseases. Methods A cross-sectional clinical ECG survey was perfromed in 11 620 adults population. Results The proportion of abnormal ECG in adults was 30.6%. The incidence of major abnormal ECG were 7.3% for ST-T changes, 5.6% for sinus tachycardia, 4.4% for sinus arrhythmia, 3.4% for ventricular premature beats, 2.0% for bundle branch block and 1.8% for ...