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本文报告了150例60岁以上老年人24小时动态心电图心律失常分析的结果,表明老年人心律失常检出率较高,并以室性早搏最多见,共检出72976次,人均486.5次,且随年龄增长而增多,尤以在80岁以上者室性早搏更多,人均529.6次。24小时中室性早搏检出率的时间分布特点为0～6时最低,而在7～12时最高,人均154.6次。非心脏病组的心律失常发生率比心脏病组高。而恶性心律失常的检出率则有器质性心脏病者比无器质性心脏病者高。故认为室性早搏的临床意义主要取决于室性早搏的原发疾病、心功能及心肌缺血的状况。
This article reports 150 cases of 60-year-old elderly 24-hour dynamic electrocardiogram arrhythmia analysis results showed that the elderly were higher detection rate of arrhythmia, and premature ventricular contractions are the most common, a total of 72,976 detected, the average per capita 486.5 times, and Increasing with age, especially in more than 80 years of premature ventricular contractions more per capita 529.6 times. 24 hours in the detection rate of premature ventricular contractions characteristics of the time distribution of the lowest 0 to 6, while the highest in the 7 to 12, the per capita 154.6 times. The incidence of arrhythmia in non-heart disease group was higher than in the heart disease group. The detection rate of malignant arrhythmia is more organic heart disease than those without organic heart disease. Therefore, the clinical significance of premature ventricular contractions mainly depends on the primary premature ventricular disease, cardiac function and myocardial ischemia.