24 h动态心电图监测老年心血管疾病的价值

Value of 24-hour Ambulatory Electrocardiogram in Monitoring Cardiovascular Diseases in the Elderly

目的分析中年心血管疾病患者与老年心血管疾病患者应用24h动态心电图监测的临床特点。方法选择我院2015 年8 月—2017 年11月收治的中老年心血管疾病患者124 例作为本次研究病例,按照年龄的不同进行分组,分为中年组和老年组,每组各62 例,对比分析两组患者应用24h 动态心电图监测的情况,以及患者发生心律失常的机率。结果两组患者经24 h 动态心电图监测后,结果表明:老年组房性心律失常发生率(50.00%)、室性心律失常(41.94%)、窦性心律失常(16.13%)、复杂性室性心律失常(14.52%)、复杂性心律失常(22.58%)显著高于中年组,(20.97%、16.13%、4.84%、3.23%、6.45%),其中发生率最高的就是房性心律失常,组间差异显著,存在统计学意义(P< 0.05);中老年心血管疾病患者心肌缺血的高发时间在凌晨到早晨这段时间中。结论老年患者心律失常的发生率明显高于中年患者,应用24 h 动态心电图能够有效发现心血管疾病,还可以改善患者病情,提高患者的生命质量,值得临床应用探索。

Objective To analyze the clinical characteristics of 24-hour ambulatory electrocardiogram monitoring in middle-aged and elderly patients with cardiovascular diseases. Methods 124 middle-aged and elderly patients with cardiovascular diseases admitted to our hospital from August 2015 to November 2017 were selected as the study cases. They were divided into middle-aged group and elderly group according to their age. 62 cases in each group were divided into two groups. The situation of 24-hour ambulatory electrocardiogram monitoring and the incidence of arrhythmia in the two groups were compared and analyzed. Results After 24 hours dynamic electrocardiogram monitoring, the results showed that the incidence of atrial arrhythmias (50.00%), ventricular arrhythmias (41.94%), sinus arrhythmias (16.13%), complex ventricular arrhythmias (14.52%) and complex arrhythmias (22.58%) in the elderly group were significantly higher than those in the middle-aged group (20.97%, 16.13%, 4.84%, 3.23%, 6.45%). High is atrial arrhythmia, the difference between groups is significant, there is statistical significance (P < 0.05);the high incidence of myocardial ischemia in middle-aged and elderly patients with cardiovascular disease in the early morning to the morning period. Conclusion The incidence of arrhythmia in elderly patients is significantly higher than that in middle-aged patients. 24-hour ambulatory electrocardiogram can effectively detect cardiovascular diseases, improve the patient's condition and quality of life. It is worth exploring in clinical application.