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目的探讨老年冠心病合并退行性心瓣膜病与心力衰竭的相关性。方法将40例老年冠心病合并退行性心瓣膜病与同期住院的40例老年冠心病的患者进行临床对比研究。结果老年冠心病合并退行性心瓣膜病组在心力衰竭的程度、心律失常及心脏扩大等方面均明显高于单纯冠心病组(P<0.01)。结论退行性心瓣膜病可导致血流动力学障碍,加重心功能损害,可促发或进一步加重老年冠心病心力衰竭,成为老年人充血性心力衰竭、猝死的重要原因之一。
Objective To investigate the correlation between elderly patients with coronary heart disease and degenerative heart valve disease and heart failure. Methods 40 cases of elderly patients with coronary heart disease and degenerative valvular heart disease hospitalized in 40 cases of elderly patients with coronary heart disease clinical comparative study. Results The degree of heart failure, arrhythmia and heart enlargement in elderly patients with coronary heart disease complicated with degenerative valvular disease were significantly higher than those in patients with coronary heart disease alone (P <0.01). Conclusions Degenerative heart valvular disease can lead to hemodynamic disorders, aggravating cardiac dysfunction, and can promote or further aggravate heart failure in elderly patients with coronary heart disease, and become one of the important causes of sudden death in congestive heart failure in the elderly.