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本文报道140例老年病人,24小时动态心电图结果。心律失常的检出率分别为:室上性早搏85.7％,室性早搏41.4％(LownⅢ级以上者占8.5％),短阵房速23.6％,间歇房颤0.7％。12例恶性室早中有6例为已确诊的冠心病人,5例Ⅳb级者其室性心动过速均不是出现于室早最频时。提示老年恶性室早病人多见于冠心病者,对临床所见的偶发室早,特别是有明显器质性心脏病的老年病人,最好能及早作动态心电图检查。
This article reports 140 elderly patients, 24-hour ambulatory ECG results. The detection rates of arrhythmia were 85.7% in supraventricular premature beat, 41.4% in premature ventricular contractions (8.5% in Lown Ⅲ grade or above), 23.6% in short-time atrial fibrillation and 0.7% in intermittent atrial fibrillation. Six of the 12 cases of malignant ventricular early were diagnosed as coronary heart disease, and 5 cases of Ⅳ b grade ventricular tachycardia were not found in the most frequent room early. Prompt elderly patients with malignant premature patients more common in patients with coronary heart disease, clinically seen sporadic room early, especially in patients with significant organic heart disease in elderly patients, it is best to make early dynamic ECG.