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目的:分析65岁以上老年人十二导联动态心电图(12-Holter)心律失常的特点及其对阵发性房颤的诊断价值。方法:①采用回顾性分析的方法,随机选择500例65岁以上老年人的动态心电图进行心律失常情况的统计分析,并同时选择500例小于65岁的心电图作为对照;②另选择500例65岁以上老年人的十二导联普通心电图(ECG)作为对照,对比分析12-Holter与ECG两种方法对老年人阵发性房颤的检出率。结果:①65岁以上老年人动态心电图各种心律失常、ST-T改变的发生率高。而在各类心律失常中房性早搏、室性期前收缩、房性心动过速、房颤发生率较高。②动态心电图对于阵发性房颤的检出率显著高于普通十二导联心电图。结论:①老年人动态心电图检查结果异常率高;②与普通心电图比较,动态心电图诊断老年人阵发性房颤有较高的价值。
Objective: To analyze the characteristics of 12-Holter arrhythmia in the elderly over 65 years old and its diagnostic value for paroxysmal atrial fibrillation. Methods: ①Through retrospective analysis, we randomly selected 500 cases of electrocardiogram (ECG) of 65 years old and above to analyze the arrhythmia. At the same time, 500 cases of electrocardiogram less than 65 years old were selected as the control. The 12-lead general electrocardiogram (ECG) of the elderly as a control, comparative analysis of the 12-Holter and ECG two methods of senile paroxysmal atrial fibrillation detection rate. Results: (1) All kinds of arrhythmia of dynamic electrocardiogram in the elderly over 65 years old, the incidence of ST-T changes was high. In a variety of arrhythmia, atrial premature beats, ventricular contraction, atrial tachycardia, a higher incidence of atrial fibrillation. ② Holter detection of paroxysmal atrial fibrillation was significantly higher than the average twelve lead ECG. Conclusion: ①The abnormal rate of ambulatory electrocardiogram in the elderly is high; ② Compared with the common electrocardiogram, ambulatory electrocardiogram has a higher value in diagnosing paroxysmal atrial fibrillation in the elderly.