无症状老年心血管病病人的动态心电图(摘要)
作者：郭宏田 张淑琴
单位：北京市，中铁建门诊部(100855)
关键词：
目的 目的：观察无症状老年心血管病病人心肌缺血及心律失常的发生率及其特点。
方法：无症状老年心血管病病人共236例，都是56岁至78岁(平均63.4岁)的门诊病人。男196人，女40人；其中冠心病病人96例，陈旧性心肌梗塞病人31例，高血压病人21例，风湿性心脏病(风心病)病人4例，病毒性心肌病病人3例，肺心病病人2例，心律失常病人79例。全部病人用动态心电图进行24小时监测，观察心肌缺血及心律失常的发生率及其特点。
结果：236例病人中检出心肌缺血86例(36.4%)。在冠心病病人中检出51例(53.1%),陈旧性心肌梗塞病人及风心病病人全部都有心肌缺血。86例心肌缺血病人中，56例(65%)缺血发作在早上6～12时，与其它时间发作病人相比有显著性差异。52例心肌缺血病人(60.5%)年龄在66岁以上，34例(39.5%)年龄低于66岁。114例检出有异位性心律失常，其中61例为室上性心动过速，53例为室性心动过速，包括5例一过性阵发性室性心动过速。31例陈旧性心肌梗塞病人检出心律失常28例(90.3%)，其中13例属下壁心肌梗塞，7例属前侧壁心肌梗塞。
, 百拇医药
结论：心肌缺血在冠心病、陈旧性心肌梗塞及风心病病人中的发生率不低，多发生在早上6～12时，且66岁以上病人发生较多。有近半数病人有异位性心律失常，陈旧性下壁心肌梗塞者的心律失常发生率较高。
Ambulatory Electrocardiogram in Asymptomatic Senile Patients with Cardiovascular Diseases (Abstract)
Clinical of China Railway Construction Co., Beijing (100855)
Guo Hongtian, Zhang Shuqin.
Objective: To observe the prevalence and characteristics of myocardial ischemia and arrythmia in asymptomatic senile patients with cardiovascular diseases.
, 百拇医药
Methods: Two hundred and thirty-six asymptomatic senile patients with cardiovascular diseases were monitored with ambulatory electrocardiogram to observe the prevalence and characteristics of myocardial ischemia and arrythmia. All subjects were outpatients of 56～78 (average 63.4) years, 196 males, 40 females. 96 of them had coronary heart disease, 31 had old myocardial infarction, 21 had hypertension, 4 had rheumatic heart disease, 3 had viral cardiomyopathy, and 79 had arrhythmia.
, http://www.100md.com
Results: Among the 236 patients, 86 (36.4%) had myocardial ischemia, of whom 51 were in the patients who had coronary heart disease. And myocardial ischemia was detected in all patients who had old myocardial infarction or rheumatic heart disease. 56 (65.1%) of the 86 ischemic patients, ischemic changes in the electrocardiogram occurred at 6～12 a. m. , the rate was significanly higher as compared with that at other hours, 52 (60.5%) of the 86 patients were 66 or more years old and 34 (39.5%) were less than 66 years old. Ectopic arrhythmia was detected in 114 patients; of them 61 had supraventricular arrhythmia, and 53 had ventricular arrhythmia including 5 short paroxysmal ventricular tachycardia. Of the 31 patients with old myocardial infarction, 28 had arrhythmia, in whom 13 were inferior infarction and 7 were anterolateral infarction.
, 百拇医药
Conclusion: The prevalence of myocardial ischemia in patients with coronary heart disease, old myocardial infarction and rheumatic heart disease is not low. Myocardial ishchemia frequently occurred at 6～12 a. m., and in patients of 66 or more years old. Nearly half of the patients have ectopic arrhythmia. The prevalence of arrhythmia is higher in patients with inferior old myocardial infarction., 百拇医药
单位：北京市，中铁建门诊部(100855)
关键词：
目的 目的：观察无症状老年心血管病病人心肌缺血及心律失常的发生率及其特点。
方法：无症状老年心血管病病人共236例，都是56岁至78岁(平均63.4岁)的门诊病人。男196人，女40人；其中冠心病病人96例，陈旧性心肌梗塞病人31例，高血压病人21例，风湿性心脏病(风心病)病人4例，病毒性心肌病病人3例，肺心病病人2例，心律失常病人79例。全部病人用动态心电图进行24小时监测，观察心肌缺血及心律失常的发生率及其特点。
结果：236例病人中检出心肌缺血86例(36.4%)。在冠心病病人中检出51例(53.1%),陈旧性心肌梗塞病人及风心病病人全部都有心肌缺血。86例心肌缺血病人中，56例(65%)缺血发作在早上6～12时，与其它时间发作病人相比有显著性差异。52例心肌缺血病人(60.5%)年龄在66岁以上，34例(39.5%)年龄低于66岁。114例检出有异位性心律失常，其中61例为室上性心动过速，53例为室性心动过速，包括5例一过性阵发性室性心动过速。31例陈旧性心肌梗塞病人检出心律失常28例(90.3%)，其中13例属下壁心肌梗塞，7例属前侧壁心肌梗塞。
, 百拇医药
结论：心肌缺血在冠心病、陈旧性心肌梗塞及风心病病人中的发生率不低，多发生在早上6～12时，且66岁以上病人发生较多。有近半数病人有异位性心律失常，陈旧性下壁心肌梗塞者的心律失常发生率较高。
Ambulatory Electrocardiogram in Asymptomatic Senile Patients with Cardiovascular Diseases (Abstract)
Clinical of China Railway Construction Co., Beijing (100855)
Guo Hongtian, Zhang Shuqin.
Objective: To observe the prevalence and characteristics of myocardial ischemia and arrythmia in asymptomatic senile patients with cardiovascular diseases.
, 百拇医药
Methods: Two hundred and thirty-six asymptomatic senile patients with cardiovascular diseases were monitored with ambulatory electrocardiogram to observe the prevalence and characteristics of myocardial ischemia and arrythmia. All subjects were outpatients of 56～78 (average 63.4) years, 196 males, 40 females. 96 of them had coronary heart disease, 31 had old myocardial infarction, 21 had hypertension, 4 had rheumatic heart disease, 3 had viral cardiomyopathy, and 79 had arrhythmia.
, http://www.100md.com
Results: Among the 236 patients, 86 (36.4%) had myocardial ischemia, of whom 51 were in the patients who had coronary heart disease. And myocardial ischemia was detected in all patients who had old myocardial infarction or rheumatic heart disease. 56 (65.1%) of the 86 ischemic patients, ischemic changes in the electrocardiogram occurred at 6～12 a. m. , the rate was significanly higher as compared with that at other hours, 52 (60.5%) of the 86 patients were 66 or more years old and 34 (39.5%) were less than 66 years old. Ectopic arrhythmia was detected in 114 patients; of them 61 had supraventricular arrhythmia, and 53 had ventricular arrhythmia including 5 short paroxysmal ventricular tachycardia. Of the 31 patients with old myocardial infarction, 28 had arrhythmia, in whom 13 were inferior infarction and 7 were anterolateral infarction.
, 百拇医药
Conclusion: The prevalence of myocardial ischemia in patients with coronary heart disease, old myocardial infarction and rheumatic heart disease is not low. Myocardial ishchemia frequently occurred at 6～12 a. m., and in patients of 66 or more years old. Nearly half of the patients have ectopic arrhythmia. The prevalence of arrhythmia is higher in patients with inferior old myocardial infarction., 百拇医药