摘要
目的探讨对65岁以上高血压患者进行心电图检查的临床意义。方法选取2017年5至7月在上海市瑞金二路街道参加关爱体检,年龄在65岁以上的高血压确诊患者共875例。回顾性分析入选者的心电图检查资料,并对测量结果和记录数据进行统计分析。结果在关爱体检中共发现异常心电图524例(59.89%),其中排名前三位的分别是窦性心动过缓102例(19.47%)、ST-T改变98例(18.70%)和右束支阻滞75例(14.31%)。结论 65岁以上参加关爱体检的社区高血压患者的心电图异常检出率较高。基层医院和社区卫生服务中心应定期为老年高血压患者进行心电图检查,以尽早发现心律失常及心肌缺血。
Objective To discuss the clinical significance of ECG examination for hypertensive patients over 65 years old. Methods A total of 875 patients over 65 years old were enrolled in our study. They had been diagnosed with hypertension and had undergone caring physical examination in the Ruijin 2 nd Road Community of Shanghai from May to July in 2017. Their ECG data were retrospectively analyzed while the measurements and recordings were statistically analyzed.Results Abnormal ECGs were observed in 524 cases（ 59. 89 %）,among whom sinus bradycardia（ 102 cases,19. 47%）,ST-T changes（ 98 cases,18. 70%） and right bundle branch block（ 75 cases,14. 31%） ranked as the top three. Conclusion In community caring physical examination,the detection rate of ECG abnormalities is high in the hypertensive patients over 65 years old. It suggests that primary hospitals and community health service centers should regularly perform ECG examination on elderly hypertensive patients in order to detect arrhythmia and myocardial ischemia as early as possible.
出处
《实用心电学杂志》
2017年第5期325-327,共3页
Journal of Practical Electrocardiology
基金
上海市黄浦区科研资助项目(HKW201637)
关键词
高血压
心电图
体检
心律失常
心肌缺血
hypertension
electrocardiogram
physical examination
arrhythmia
myocardial ischemia
