86例老年阵发性心房颤动终止时长R-R间歇临床分析

Analysis long R-R intervals at fibrillation termination in paroxysmal atrial fibrillation——86 cases Holter recorders

目的探讨老年人阵发性房颤终止时长R-R间歇的临床意义。方法回顾性对86例老年患者多年记录的24hHolter报告追踪调查分析。结果86例老年心房颤动终止时发生长R-R间歇≥2.0s共1509次,最长R-R间歇为5.60s。患者记录中均无自觉症状。临床追随最短1年,最长15年,无一例发生严重不良后果。结论老年阵发性心房颤动终止时发生心室长R-R间歇<4.0s者,且出现在夜间;也无头晕、黑蒙、晕厥等症状,则允许临床随访观察。

Objective To evaluate the clinical significance of long R-R interval at the atrial fibrillation termination on Holter record in the elderly patients. Methods Retrospective analysis of the atrial fibrillation termination with long R-R intervals on Holter record in 86 elderly patients. Results A total of 1 509 records of long R-R interval ≥2.0 seconds were found in 86 elderly patients. The longest R-R intervals detected was 5.60 seconds without symptoms. Conclusions If at atrial fibrillation termination, a length〈4.0s R-R intervals on Holter record was detected but the patient had no symptoms, clinical follow-up will be allowed.