老年无胸痛房颤患者的临床观察

Chinical investigation of atrial fibrillation in older patients without chest pain

目的:观察老年无胸痛房颤患者的病因及与冠心病的关系。方法:48例心房颤动老年患者分别为典型胸痛(A组)23例和无胸痛(B组)25例均接受冠状动脉造影检查,分析两组冠状动脉病变阳性率和危险因素之间的关系。结果:A组中有21例(91.3%)有冠心病,而B组中仅有5例(20.0%)有冠心病,差异有统计学意义(P<0.01),A组血脂、血糖、血压均高于B组(P<0.05)。结论:无胸痛伴冠心病危险因素的老年心房颤动患者,诊断冠心病要慎重,必要时应做冠状动脉造影检查以减少误诊。

Objective： To investigate the relationship between atrial fibrillation and coronary artery diseade in the elderly patients. Methods：48 elderly patients with arrial fibrillation were divided into group A（23 patients with typical chest pain） and group B （25 patients without typical chest pain）. Coronary angiography was performed in all patients. Analysed the incidences rates of coronary artery disease and the risk factors of coronary arteny diseade between group A and group B. Results： The result of coronary angiography showed that 21 patients（91.3%） appeared coronary artery stenosis in group A and only 5 patients （20%） in group B. Level of TG and blood glucose and incidence rates of hypertension were higher in group A than in group B. Conclusion：The diagnosis of coronary artery disease should be made with caution. And coronary angiography is necessary to perform made for the patients without atypical chest pain and atrial fibrillation .