期刊文献+

高龄老年人心率状况及变异性特点 被引量:4

Heart rate condition and variability of very elderly people
下载PDF
导出
摘要 目的了解高龄老年人的心率状况及心率变异性特点。方法调查149例年龄≥80岁的高龄老年人的动态心电图(Holter)数据,包括24 h平均心率、最快心率、最慢心率及心率变异性指标正常R-R间期的标准差(SDNN)和每5 min正常R-R间期平均值的标准差(SDANN),与同期行Holter检查的188例年龄60~79岁的老年人的相应指标进行比较。结果高龄老年人与60~79岁老年人相比较,24 h平均心率降低[(68.9±8.4)次/min比(71.7±8.3)次/min,P<0.05],最快心率降低[(103.2±18.8)次/min比(114.7±17.7)次/min,P<0.05],最慢心率差异无统计学意义[(52.2±7.0)次/min比(52.1±6.2)次/min,P>0.05],两组SDNN[(116.7±36.8)ms比(131.3±40.7)ms]和SDANN[(36.7±10.2)ms比(42.5±13.1)ms]比较,差异均有统计学意义(均为P<0.05)。结论高龄老年人的平均心率、最快心率较60~79岁老年人轻度下降,心率变异性降低。 Objective To investigate the heart rate condition and variability of very elderly people. Methods A total of 149 very elderly people ( t〉80 years old) and 188 subjects aged from 60 to 79 years old with Holter Data, including average heart rate, maximum heart rate, minimum heart rate of 24 hours, SDNN and SDANN, were retrospectively reviewed and compared. Results Compared with the subjects aged from 60 to 79 years old, average heart rate [ ( 68.9 ± 8.4 ) beat/min vs. ( 71.7 ± 8.3 ) beat/min ], maximum heart rate [ ( 103.2 ± 18.8 ) beat/min vs. ( 114. 7 ± 17. 7 ) beat/mini, SDNN [ ( 116. 7 ± 36. 8 ) ms vs. (131.3 ± 40. 7) ms ] and SDANN [ (36. 7 ± 10. 2)ms vs. (42. 5 ± 13.1 ) ms ] of very elderly people were significantly decreased ( all P 〈 0. 05), and minimum heart rate was similar [ (52. 2 ± 7.0) beat/min vs. (52. 1 ± 6. 2) beat/min, P 〉 0. 05) ]. Conclusions The average heart rate, maximum heart rate and heart rate variability of very elderly people are significantly decreased than those of general old people, but the minimum heart rate has no significant difference between the two groups.
作者 李辉 刘德平
出处 《中国心血管杂志》 2013年第4期253-255,共3页 Chinese Journal of Cardiovascular Medicine
关键词 老年人 80以上 心率 变异性 Aged, 80 and over Heart rate Variability
  • 相关文献

参考文献10

  • 1Fox K,Ford I,Steg PG,et al.Ivabradine for patients with stable coronary artery disease and left-ventricular systolic dysfunction (BEAUTIFUL):a randomised,double-blind,placebocontrolled trial.Lancet,2008,372:807-816.
  • 2Kossmann CE.The normal electrocardiogram.Circulation,1953,8:920-936.
  • 3Criteria Committee of the New York Heart Association.Nomenclature and criteria for diagnosis of diseases of the heart.5th ed.New York:New York Heart Association,1953.
  • 4Spodick DH,Raju R,Bishop RL,et al.Operational definition of normal sinus heart rate.Am J Cardiol,1992,69:1245-1246.
  • 5吴杰,Jan A. Kors Peter R. Rijnbeek,陆再英,徐春芳,Jan H. van Bemmel.中国健康人群正常心率范围的调查[J].中华心血管病杂志,2001,29(6):369-371. 被引量:36
  • 6全国心率变异性分析多中心研究协作组,尹彦琳,吴宁,程康安,黄从新,王晋明,蒋文平,刘志华,吕卓人,薛小临,杨钧国,吴俞萍,陆再英,张黎,李莉,王铁锚,黄永麟,曲秀芬,朴晶燕,高冠宇,刘莹.心率变异性正常值及其重复性的多中心研究[J].中华心律失常学杂志,2000,4(3):165-170. 被引量:111
  • 7U.S.Census Bureau,International Data Base,accessed on March 24,2008.
  • 8Stessman J,Jacobs JM,Stessman-Lande I,et al.Aging,resting pulse rate,and longevity.J Am GeriatrSoc,2013,61:40-45.
  • 9Zulfiqar U,Jurivich DA,Gao W,et al.Relation of high heart rate variability to healthy longevity.Am J Cardiol,2010,105:1181-1185.
  • 10Krum H,Hill J,Fruhwald F,et al.Tolerability of beta-blockers in elderly patients with chronic heart failure:the COLA Ⅱ study.Eur J Heart Fail,2006,8:302-307.

二级参考文献4

共引文献145

同被引文献12

  • 1U. S.Census Bureau,International Data Base, acce-ssed on March 24, 2008.
  • 2FAULKNIER B,HUANG DT, DAUBERT JP. Time depende-.nee of arrhymias in ICD patients[J]. J Cardiova-sc Electrophysiol, 2008,19(8):790-793.
  • 3Okutucu S,Karakulak UN,Kabakci G.Circadian blood pressure pattern and cardiac autonomic functions:different aspects of same pathophysiology[J].Anadolu Kardiyol Derg,2011;11(2):168-73.
  • 4Erdem A,Uenishi M,Küsükdurmaz Z,et al.Cardiac autonomic function measured by heart rate variability and turbulence in prehypertensive subjects[J].Clin Exp Hypertens,2013;35(2):102-7.
  • 5Thor PJ,Mazur M,Furgala A,et al.The autonomic nervous system function in benign prostatic hyperplasia[J].Folia Med Cracov,2006;47(1-4):79-86.
  • 6McV ary KT,Rademaker A,Lloyd GL,et al.Autonomic nervous system overactivity in men with lower urinary tract symptoms secondary to benign prostatic hyperplasia[J].J Urol,2005;174(4 Pt 1):1327-433.
  • 7程明,马慧娟,张翼.低氧与心率变异性研究进展[J].基础医学与临床,2012,32(1):99-101. 被引量:10
  • 8奎如琴,林友华,孙银香,周南.气功和太极拳对中老年人肺功能的影响[J].中国康复医学杂志,1990,5(3):115-117. 被引量:11
  • 9刘元生.勺型心率(100)[J].临床心电学杂志,2012,21(5):396-396. 被引量:3
  • 10魏滨,张华,王军,张利萍,郭向阳,李民,周方.2种不同麻醉方法对髋部骨折老年患者术后肺部并发症发生的多因素分析[J].中国微创外科杂志,2015,15(4):289-292. 被引量:33

引证文献4

二级引证文献5

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部