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老年不明原因心律失常与冠心病的关系探讨

A study on the relationship between unknown arrhythmia and coronary heart disease in elderly patients
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摘要 目的探讨老年患者不明原因的心律失常与冠心病之间的关系。方法不明原因心律失常老年患者37例(A组)和有典型胸痛的老年患者40例(B组)均接受冠状动脉造影检查,记录冠状动脉病变情况。结果A组冠状动脉病变率为18.9%(7/37),均为单支病变,B组冠状动脉病变阳性率为97.5%(39/40),双支(13/39)、三支(6/39)病变占48.7%。A组冠状动脉病变阳性率明显低于B组(P<0.01)。结论老年不明原因心律失常患者冠心病发生率不高。 Objective To study the relationship between unknown arrhythmia and coronary heart disease in elderly patients. Methods Coronary artery angiography was performed in thirty - seven elderly patients with unknown arrhythmia (group A) and forty elderly patients with typical angina pectoris (groupB) to reveal the pathological state of the coronary artery. Resuits The significant stenosis rate of coronary artery in group A was only 18.9% (7/37), with lesions all being single - vessel ones; while in group B, the stenosis rate was 97.5% (39/40, P 〈 0.01), and the lesions were all double - vessel or three - vessel ones. Conclusion The incidence of coronary heart disease is not as high as imagined in the elderly patients with unknown arrhythmia.
出处 《徐州医学院学报》 CAS 2006年第5期437-438,共2页 Acta Academiae Medicinae Xuzhou
关键词 心律失常 冠心病 冠状动脉造影 arrhythmia coronary heart disease coronary artery angiography
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