论文部分内容阅读
对39例老年心脏病无心功能不全患者进行24h 动态心电图(Holter)监测,其中肺心病缓解期(简称肺缓),高血压型心脏病(简称高心)及冠心病患者各13例.结果,肺缓组呈高基础心率、其昼夜心率无明显变化,另两组睡眠时心率明显下降(P<0.05,P<0.01),示肺缓组各时相均存在不同程度缺氧致交感兴奋;各组均检出有心律失常,全部以室性心律失常为主,高心、冠心两组睡眠时心律失常减少显著(P<0.05),肺缓组下降轻微,提示这类病人夜间易出现严重心律失常.三组均检出有心肌缺血,且均以无症状心肌缺血为主,故临床对老年心脏病人均应行 Holter 监测.
Thirty-nine elderly patients with heart failure and heart failure were monitored by Holter monitoring, including 13 cases of remission of pulmonary heart disease (CHD), hypertensive heart disease (CHD) and coronary heart disease (CHD) Pulmonary bradycardia showed a high basal heart rate with no significant changes in diurnal heart rate. The heart rate of the other two groups was significantly decreased during sleep (P <0.05, P <0.01) Arrhythmias were detected in all groups, all of them were mainly ventricular arrhythmias. Heart failure and arrhythmia were significantly reduced in both high and low coronary heart groups (P <0.05), and decreased slightly in lung bradycardia group, suggesting that these patients were prone to appear at night Severe arrhythmia.All three cases were detected myocardial ischemia, and are mainly silent myocardial ischemia, so the clinical elderly patients should be Holter Holter monitoring.