46例老年男性退行性心脏瓣膜病心律失常10年随访分析

Arrhythmia anaysis of ten-years follow-up of 46 male senile degenerative valvular heart disease

目的探讨老年男性退行性心脏瓣膜病(SDHVD)患者病程长短对心律失常的影响及临床意义。方法心脏彩超首次诊断SDHVD患者46例(A组)及无SDHVA患者46例(B组),应用动态心电图对两组患者进行10年的动态心电图随访,对心律失常进行对比分析。结果两组患者各类心律失常发生率随年龄增加呈上升趋势,快速房性心律失常(包括房性心动过速、心房颤动及心房扑动)的发生率随年龄增加两组差异不断缩小,一度房室传导阻滞,完全性右束支传导阻滞的发生率随年龄增加及SDHVD患者病程延长两组差异呈增大趋势。结论随着年龄的增加及病程的延长,SDHVD患者一度房室传导阻滞及右束支传导阻滞的发生率增加,建议对SDHVD患者定期进行动态心电图检查,及时发现心电图改变,并针对所发现的心电图改变并进行必要的干预,提高SDHVD患者生命质量。

Objective To investigate the influence and clinical significance of the length of illness course to arrhythmia in older men with Senile Degenerative Heart Valvular Disease (SDHVD).Methods 46 patients (group A) who were diagnosed with SDHVD by UCG were compared with 46 patients(group B) without SDHVD.Patients in the two groups were followed up by DCG for 10 years.All kinds of ar-rhythmias were comparative analyzed .Results The incidence of arrhythmias of the two groups showed ascending tendency with age .The difference of rapid atrial arrhythmias'( including atrial tachycardia , atrial fibrillation and atrial flutter ) incidence between the two groups was decreasing with age .The differences of the first degree atrioventricular and completed right bundle branch block 's incidence were increasing with age and the prolonged course of SDHVD .Conclusions The incidence of the first degree atrioventricular and completed right bundle branch block in SDHVD increases with age and the prolonged course of disease .Patients with SDHVD are suggested that DCG should be reg-ularly examined to observe the ECG changes in time and necessary intervention should be taken to these ECG changes to improve patients 'quality of live .