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老年心房纤颤与冠心病(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2000年第2期
页码:
98-99
栏目:
论著
出版日期:
2000-03-25

文章信息/Info

Title:
Atrial fibrillation and coronary artery disease in elderly persons
作者:
薛玉生;  杜日映;  张利华;  谢伯雅;  杨欣国
第四军医大学唐都医院心内科，陕西 西安 710038
Author(s):
XUE YU-sheng;  DU Ri-ying;  ZHANG Li-hua;  XIE Bo-ya;  YANG Xin-guo
Department of Cardiology, Tangdu Hospital, Fourth Military Medical University, Xi′an 710038, Shaanxi, China
关键词:
心房纤颤; 老年人; 冠状动脉疾病; 冠状动脉造影
Keywords:
atrial fibrillation;  aged;  coronary disease;  coronary angiography
分类号:
R541.75; R541.4　
DOI:
-
文献标识码:
A
摘要:
对26例经过冠状动脉造影的老年心房纤颤患者做回顾性分析。将患者分为2组, 第1组17例, 无心电图心肌缺血证据; 第 2组9例, 有心电图心肌缺血证据。结果显示，第1，2组分别有2 (11.8%)和8 (88.9%)例患者存在1支以上冠状动脉大于管腔直径50%的狭窄，被诊断为冠心病。2组之间差异显著(P＜0.01)。结果提示，当无心电图心肌缺血依据时，老年房颤不一定由冠心病引起。
Abstract:
The data of 26 aged patients with atrial fibrillation, who had undergone selective coronary angiography, was retrospectively studied. The patients were divided into two groups. Group1:17 patients without electrocardiographic evidence of cardiac ischemia, and group2:9 patients with electrocardiographic evidence of cardiac ischemia . The results showed that group 1 and 2 had, respectively, 2(11.8%) and 8(88.9%)patients who had more than 50% narrowing in transverse diameter in at least one branch of coronary artery and was diagnosed as coronary artery disease(CAD). The incidences of CAD between the two groups were significantly different (P＜0.01). The results suggested that atrial fibrillation in elderly persons might not be attributed to CAD when without electrocardiographic evidence of cardiac ischemia.

参考文献/References

［1］ Furberg CD, Psaty BM, Manolio TA, et al. Prevalence of atrial fibrillation in elderly subjects (the Cardiovascular Health Study ) ［J］. Am J Cardiol, 1994, 74(3): 236.

［2］ 浦寿月. 心房颤动［A］. 见: 陈灏珠. 中国医学百科全书一心脏病学［M］. 上海: 上海科学技术出版社, 1982:184.

［3］ Haddad AH, Prchkov VK, Dean DC. Chronic atrial fibrillation and coronary disease ［J］. J Electrocardiol, 1978, 11: 67.

［4］ Capucci A, Aschieri D, Villani GQ. Epidemiology and therapy of atrial fibrillation ［J］. Ann Ital Med Int, 1996, 11(Supp12): 5S.

［5］ Shen W, Feng Y, Gong L. Atrial fibrillation and coronary artery disease ［J］. Chin Med Sci J, 1993, 8(3): 177.

［6］ Galrinho A, Gomes JA, Antunes E, et al. Atrial fibrillation and coronary disease ［J］. Rev Port Cardiol, 1993, 12(12): 1037.

［7］ Ciatoni S, Bloch A. Mid-term clinical and prognostic evaluation of idiopathic atrial fibrillation ［J］. Arch Mal Coeur Vaiss, 1993, 86: 1025.

备注/Memo

备注/Memo:
收稿日期：1999-11-15.
更新日期/Last Update: 2000-03-25