摘要
目的探讨老年人收缩期高血压发生左室肥厚与心律失常的相关性研究。方法选取2020年7月-2021年10月收治的收缩期高血压72例老年患者纳入研究,所分两组,观察组(36例)为收缩期高血压左室肥厚者,36例对照组为收缩期高血压非左室肥厚者,对比效果。结果房性心律失常(100.00%)、CVA(复杂性房性心律失常86.11%)、室性心律失常(91.67%)、CAA(复杂性室性心律失常75.00%),均比对照组的(88.89%、44.44%、55.56%、25.00%)高(P<0.05);CI(心脏指数)、E峰(二尖瓣舒张早期流速峰值)、LVEF(左室射血分数)、E/A、DC(舒张早期减速度),均低于对照组;而A峰(二尖瓣舒张晚期流速峰值)、IRT(等容舒张时间),要高于对照组(P<0.05)。结论老年人收缩期高血压左室肥厚,与心律失常关联紧密,也是重要的心血管死亡危险因素。
Objective To investigate the correlation between left ventricular hypertrophy and arrhythmia in elderly patients with systolic hypertension.Methods 72 elderly patients with systolic hypertension treated in our hospital from July 2020 to October 2021 were included in the study.They were divided into two groups.The observation group(36 cases)were systolic hypertensive left ventricular hypertrophy,and the control group(36 cases)were systolic hypertensive non left ventricular hypertrophy.The effects were compared.Results Atrial arrhythmia(100.00%),CVA(complex atrial arrhythmia 86.11%),ventricular arrhythmia(91.67%),CAA(complex ventricular arrhythmia 75.00%)were higher than those in the control group(88.89%,44.44%,55.56%,25.00%)(P<0.05);CI(cardiac index),e peak(peak of early diastolic velocity of mitral valve),LVEF(left ventricular ejection fraction),e/a,DC(early diastolic deceleration)were all lower than those in the control group;While peak a(peak value of late mitral diastolic velocity)and IRT(isovolumic diastolic time)were higher than those in the control group(P<0.05).Conclusions Left ventricular hypertrophy in elderly patients with systolic hypertension is closely related to arrhythmia,and is also an important risk factor for cardiovascular death.
作者
张春洋
ZHANG Chunyang(Harbin 242 Hospital,Harbin 150066,China)
出处
《航空航天医学杂志》
2022年第10期1156-1158,共3页
Journal of Aerospace medicine
关键词
高血压
左室肥厚
收缩期
老年人
心律失常
hypertension
Left ventricular hypertrophy
Systolic period
aged
Arrhythmia
