|
|||||
|
|
| 老年人713例动态心电图心律失常及心肌缺血的特征及临床分析 | |
| 引用本文： | 王丽华,陈海莲,张晓薇.老年人713例动态心电图心律失常及心肌缺血的特征及临床分析[J].临床军医杂志,2011,39(4):620-622. |
| 作者姓名： | 王丽华 陈海莲 张晓薇 |
| 作者单位： | 1. 解放军海军总医院心脏中心,北京,100048 2. 解放军第404医院,山东,威海,264200 3. 解放军北海舰队门诊部,山东,青岛,266071 |
| 摘 要： | 目的分析老年人动态心电图(DCG)心律失常及心肌缺血的特征。方法 713例老年患者均先作12导联心电图检查,然后采用美国PI 12导联动态心电分析系统,作24 h DCG监测并详细记录活动情况及临床症状。经计算机处理回放分析、经人机对话方式,进行编辑和总结。结果70岁以上老年患者心律失常发生率明显增高,说明年龄与心律失常的发生有关。老年人心律失常以房性心律失常最多见,检出率为93.41%。室性心律失常检出率为63.39%。窦性心律失常检出率为23.98%。传导阻滞检出率为15.29%。其中房性期前收缩检出率最高,其余依次为室性期前收缩、窦性心动过缓、房性心动过速。232例有缺血性ST-T改变,发生率为32.54%,无症状心肌缺血(SMI)远多于有症状心肌缺血。结论 动态心电图能捕捉一过性、间歇性的恶性的心电变化,老年人行DCG检查,可及早发现各种恶性心律失常、心肌缺血及窦房结病变。 |
| 关 键 词： | 老年人 动态心电图 心律失常 心肌缺血 |
Clinical analysis on the dynamic electrocardiogram(DCG)characteristics of 713 cases of arrhythmia and myocardial ischemia in the elderly |
|
| Wang Li-hua,Chen Hai-lian,Zhang Xiao-wei.Clinical analysis on the dynamic electrocardiogram(DCG)characteristics of 713 cases of arrhythmia and myocardial ischemia in the elderly[J].Clinical Journal of Medical Officer,2011,39(4):620-622. | |
| Authors: | Wang Li-hua Chen Hai-lian Zhang Xiao-wei |
| Institution: | Wang Li-hua1,Chen Hai-lian2,Zhang Xiao-wei3(1.Heart center,Navy General Hospital,PLA,Beijing 100048,China,2.PLA No.404 Hospital,Weihai Shandong 264200,3.Department of Outpatient,North Sea fleet,Qingdao Shandong 266701,China) |
| Abstract: | Objective To investigate the dynamic electrocardiogram(DCG) characteristics of arrhythmia and myocardial ischemia in the elderly.Methods 713 elderly patients underwent 12-lead electrocardiogram detection.The 24-hour dynamic ECG recording was performed by the USA PI 12-lead dynamic ECG analyzing software and the results were edited and summarized according to man-machine interaction and review and analysis by computer.Results The prevalence of arrhythmia in patients above 70 years old was significantly highe... |
| Keywords: | the elderly dynamic electrocardiogram arrhythmia myocardial ischemia |
| 本文献已被 CNKI 万方数据 等数据库收录！ | |