老年无症状频发室性心律失常临床分析

The Clinical Analysis about Frequent Asymptomatic Ventricular Arrhythmia of the Elderly

目的分析老年无症状频发性室性心律失常的临床相关情况。方法选取80例采用24 h动态心电图监测,且提示有无症状频发性室性心律失常的老年患者,50例(研究组)采用胺碘酮治疗,30例(对照组)不接收治疗,对比两组临床安全性。结果研究组临床安全率88.0%,对照组66.7%,且死亡率3.3%。结论应通过24动态心电图监测,尽早发现无症状频发性室性心律失常,并采用胺碘酮等治疗,提高临床安全性。

Objective To analyze the clinical relevant circumstances of frequent asymptomatic ventricular arrhythmia of the elder- ly. Methods 80 cases of elderly patients with frequent asymptomatic ventricular arrhythmia suggested by 24 h dynamic ECG mon- itoring were selected. 50 cases （the research group） received amiodarone for treatment, 30 cases （the control group） did not receive treatment. Then the clinical safety was compared between the two groups. Results The clinical safety rate of the research group was 88.0%, while that of the control group was 66.7% and the mortality rate of the control group was 3.3%. Conclusion 24 dy- namic ECG monitoring should be used to detect frequent asymptomatic ventricular arrhythmia as early as possible and amiodarone and so on should be given to the patients for treatment so as to improve the clinical safety.