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|本期目录/Table of Contents|

老年心律失常患者冠脉造影结果分析(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2003年第2期
页码:
147-148
栏目:
临床研究
出版日期:
2003-03-01

文章信息/Info

Title:
Analysis of the coronary artery angiography results in aged patients with unknown arrhythmia
作者:
夏云峰罗北捷刘润梅翟红霞殷亚昕
解放军304医院干部病房,北京 100037
Author(s):
XIA Yun-fengLUO Bei-jieLIU Run-meiZHAI Hong-xiaYIN Ya-xin
304 Hospital of PLA,Bei jing 100037,China
关键词:
心律失常冠状动脉造影冠状动脉疾病
Keywords:
arrhythmiacoronary artery angiographycoronary disea
分类号:
R541.7
DOI:
-
文献标识码:
A
摘要:
目的:研究老年患者不明原因的心律失常与冠状动脉病变之间的关系。方法:不明原因心律失常老年患者79 例(老年Ⅰ组)和中年患者53例(非老年组)及不典型胸痛而无心律失常的老年患者44例(老年Ⅱ组)均接受冠状 动脉造影检查,记录心律失常类型及冠状动脉病变情况。结果:老年Ⅰ组冠状动脉病变率为42%,高于老年Ⅱ组 (5%)和非老年组(15%),老年患者室上性和室性心律失常冠状动脉病变率均高于中年患者。结论:老年患者部分 不明原因心律失常尤其是室速、房颤、室早与冠状动脉病变有关。
Abstract:
AIM:To investigate the relationship between unknown arrhythmia and coronaryartery in elderly patients. METHODS: Coronary artery angiography was performed in 132 patients with unknown arrhythmia (including 79 elderly patients called elderly group I and 53middle-aged patients called non-elderly group) and44 elderly patients without arrhythmia(called elderly groupⅡ) the arrhythmia type and the pathological atate of coronary artery were recorded.RESULTS:The narrow rate of coronary artery in elderly groupⅠwas the higher (42%) than those both in non-elderly group( 15%) and in elderly groupⅡ(5%).The narrow rate of coronary artery in elderly patients with super ventricular arrhythmia or ventricular arrhythmia was higher than that in non elderly patients. CONCLUSION: About third pathogeny of unknown arrhythmia in elderly patients was coronary artery disease,especially in those patients with ventricular tachycardia or artial fibrillation or ventricular premature beat.

参考文献/References

[1]夏云峰,罗北捷,黄党生,等.溶栓治疗后冠状动脉再通标准[J].中国危重病急救医学,1998,10(7):428-429.

[2]夏云峰,刘润梅,翟红霞,等.老年房颤与脑梗塞的关系[J].军医进修学院学报,2001,22(3):223-225.

[3] Rajasinghe HA, Lorenz HP, Longaker MT, et al. Arrhythmogenic ventricular aneurysms unrelated to coronary artery disease [J].Ann Thorac Surg, 1995, 59: 1079-1084

备注/Memo

备注/Memo:
收稿日期:2002-3-14.
更新日期/Last Update: 2003-03-01