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目的探讨不同年龄组老年人心律失常的发生特点及房性心律失常与冠状动脉粥样硬化性心脏病(简称冠心病,下同)之间的关系。方法随机选取2012年6月至2016年6月在我院住院治疗心律失常患者657例,分析患者年龄、性别及基础疾病与心律失常类型的相关性。结果在各年龄组中,房性心律失常的发生率均为最高,其在70岁以上人群发生率高于70岁以下人群(p<0.05);室性心律失常在80岁以上人群发生率较70岁以下人群低(p<0.05);男女患者各类型心律失常的发生率无统计学差异(p>0.05)。冠心病(336例、占51.1%)是心律失常患者中最常见的基础疾病,其与发生率最高的房性心律失常有相关性(p=0.002)。结论房性心律失常与冠心病关系密切,改善心肌供血、控制相关炎性病变可能有助于延缓一些老年人心脏疾病的发生。
Objective To investigate the incidence of arrhythmia in elderly people of different age groups and the relationship between atrial arrhythmia and coronary atherosclerotic heart disease (referred to as coronary heart disease, the same below). Methods A total of 657 hospitalized patients with arrhythmia in our hospital from June 2012 to June 2016 were selected to analyze the correlation between age, gender and underlying diseases and arrhythmia types. Results In all age groups, the incidence of atrial arrhythmia was the highest. The prevalence of atrial arrhythmia was higher in people over 70 years old than in people under 70 years old (p <0.05). The incidence of ventricular arrhythmia in people over 80 years old There was no significant difference in the incidence of various types of arrhythmia between men and women (p> 0.05). Coronary heart disease (336 cases, 51.1%) was the most common underlying disease in patients with arrhythmias and was associated with the highest incidence of atrial arrhythmias (p = 0.002). Conclusions Atrial arrhythmia is closely related to coronary heart disease. Improving myocardial blood supply and controlling related inflammatory diseases may help to delay the occurrence of heart disease in some elderly people.