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目的探讨动态心电图在老年性心律失常中的诊断价值。方法回顾性分析1358例老年患者24h动态心电图的资料。结果 1358例患者共检出心律失常3011例次,房性心律失常最多见(58.26%),其次是室性心律失常(29.36%)、窦性心动过缓(3.82%)。结论老年性心律失常的发生率随着年龄的增长明显增高。动态心电图对老年性心律失常的检出率高,方便经济。应对60岁以上的老人尽早常规做24h动态心电图检查。尽早发现心律失常,明确其严重程度,减少老年患者猝死的发生。
Objective To investigate the diagnostic value of ambulatory electrocardiogram in senile arrhythmia. Methods Retrospective analysis of 1358 elderly patients 24h dynamic electrocardiogram data. Results A total of 3011 cases of arrhythmia were detected in 1358 patients. Atrial arrhythmia was the most common (58.26%), followed by ventricular arrhythmia (29.36%) and sinus bradycardia (3.82%). Conclusion The incidence of senile arrhythmia increases with age. Holter monitoring of senile arrhythmia rate is high, convenient and economical. Respond to the elderly over the age of 60 as early as possible conventional 24h Holter examination. Early detection of arrhythmia, a clear degree of severity, reduce the incidence of sudden death in elderly patients.