论文部分内容阅读
目的 探讨老年严重缓慢性心律失常的临床特征。方法 对 2 0 2例老年严重缓慢性心律失常患者的一般资料、心电图及动态心电图 ,心律失常的类型和治疗方法进行回顾分析。结果 ①病态窦房结综合征 10 9例 (5 4 .0 % ) ,高度房室传导阻滞 5 2例 (2 5 .7% ) ,心房颤动伴长R R间歇 4 1例 (2 0 .3% ) ,晕厥 73例(36 .1% ) ,接近晕厥或黑 71例 (35 .2 % ) ,脑供血不足 5 8例 (2 8.7% )。②动态心电图长R R间歇 2 .1～ 9s ,平均 3.3s ;≥ 2s的长R R间歇 3～ 30 2次 /2 4h ;平均 4 1次 /2 4h ;合并快速房性和室性心律失常 71例(35 .2 % )。③均给予永久心脏起搏治疗 ,合用抗心律失常药物治疗 73例 (36 .1% )。结论 严重缓慢心律失常引起老年患者严重症状 ;动态心电图可更全面了解患者心律和心率 ,明确晕厥原因 ,便于临床合理选择治疗方法。永久心脏起搏合用抗心律失常药物是控制缓慢心律失常合并快速心律失常的有效方法。
Objective To investigate the clinical features of elderly patients with severe arrhythmia. Methods The general data, electrocardiogram (ECG) and ambulatory electrocardiogram (ECG), types of arrhythmia and treatment methods were retrospectively analyzed in 202 elderly patients with severe chronic arrhythmia. Results ① Sick sinus syndrome in 109 cases (54.0%), atrioventricular block in 52 cases (25.7%), atrial fibrillation with long RR interval in 41 cases (20.3 %), 73 cases (36.1%) of syncope, close to 71 cases (35.2%) of syncope or blackhead, and less than 58 cases (28.7%) of cerebral blood supply. ② Holter RR long RR interval 2. 1 ~ 9s, an average of 3.3s; ≥ 2s long RR intermittent 3 ~ 30 2 times / 2 4h; averaging 4 1/2 4h; combined with rapid atrial and ventricular arrhythmias in 71 cases ( 35.2%). ③ were given permanent cardiac pacing therapy, combined anti-arrhythmic drug treatment in 73 cases (36.1%). Conclusions Serious slow arrhythmia causes serious symptoms in elderly patients. Holter monitor can fully understand the heart rhythm and heart rate of patients and clarify the cause of syncope, so as to facilitate the rational clinical treatment. Permanent cardiac pacing combined with anti-arrhythmic drugs is an effective method to control bradyarrhythmia combined with tachyarrhythmia.