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【目的】探讨60岁以上的老年人心电图特点，分析异常心电图发生的规律及病因。【方法】采用12导联心电图对260例60岁以上的老年人进行体检，分析异常心电图与其年龄、性别和基础疾病之间的关系。【结果】260例老年人中心电图异常者205人共227例次。随着年龄增加，异常心电图比例增加；各年龄阶段男性异常者比例均高于女性；异常心电图以ST段改变及心律失常多见。常见基础疾病为高血压、冠心病及肺心病。【结论】随着年龄增长，老年人心电图异常及心血管疾病比例明显增加；心电图检查应该列为老年人体检的常规项目。“,”[Objective] To explore the characteristics of electrocardiogram (ECG) in elderly patients aged over 60 years old ,and to analyze the rule and causes of abnormal ECG .[Methods] Totally 260 elderly patients aged over 60 years old received physical examination by using 12-lead ECG .The relationship of abnormal ECG with age ,gender and basic diseases were analyzed .[Results] Among 260 elderly patients ,205 patients(227 cases) had abnormal ECG .The proportion of abnormal ECG increased with the age .The proportion of male patients with abnormal ECG in different age group was higher than that of female patients .ST segment change and cardiac arrhythmia in abnormal ECG were commonly seen .The most common basic diseases were hyper-tension ,coronary artery disease and cardiopulmonary disease .[Conclusion] The proportion of abnormal ECG and cardiovascular disease in elderly patients increases with the age .ECG examination should be a regularity health screening item for old people .