128例老年心房颤动伴R-R长间隔临床分析

Analysis of atrial fibrillation with long R-R intervals in 128 elderly patients

目的探讨老年心房颤动伴动态心电图长R-R间隔的临床意义。方法回顾性对128例老年患者多年记录的24hHolter报告追踪调查分析。结果128例老年心房颤动中发生长R-R间隔≥2.0s共23685次,最长R-R间隔为5.32s。患者记录中均无自觉症状。临床追随最短1年,最长11年,无1例发生严重不良后果。结论老年心房颤动如伴长R-R间隔<5.0s,且出现在夜间;临床证实无心肌病、心肌梗死、心力衰竭,心脏不大;无头晕、黑蒙、晕厥等症状;则允许临床追随观察,不必急于安装永久性起搏器。

Objective To evaluate clinical significance of atrial fibrillation with long R-R interval on Holter monitoring in the elderly patients. Methods Retrospective analysis of atrial fibrillation with tong R-R intervals on Holter in 128 elderly patients. Results A total of 23685 times of ≥2.0s long R-R intervals in 128 etderly patients occurred and the longest 5.32s without symptoms in night was detected. Conclusions Atrial fibrillation patients with 〈5.0s long R-R intervals on nocturnal holter was recorded ,if this patients without OMI,cardiopathy, heart failure and no syncope attack,the pacemaker must not he implanted.