摘要
目的探讨老年患者新发室性期前收缩是否可以作为冠心病的预测因素。方法选择行冠状动脉造影检查的老年患者381例,按病因分为对照组(36例)、室性期前收缩组(室早组,26例)、高血压组(184例)、糖尿病组(53例)、高血压合并室性期前收缩组(高合组,55例)和糖尿病合并室性期前收缩组(糖合组,27例),比较6组冠心病阳性率。结果与对照组比较,高血压组和糖尿病组冠心病阳性率明显升高,差异均有统计学意义(47.83%、58.49% vs 27.78%,P<0.05),而室早组阳性率无明显增加,差异无统计学意义(P>0.05)。高合组与高血压组、糖合组与糖尿病组比较,冠心病阳性率差异均无统计学意义(P>0.05)。结论老年患者新发室性期前收缩对冠心病诊断无预测价值。
Objective To investigate whether new premature ventricular systole（PVS） in the elderly can be a predictive factor for coronary heart disease. Methods 381 elderly patients who have undergone coronary angiography were selected. All patients were grouped according to different diseases, including the control, PVS, hypertension （EH）, diabetes mellitus （DM）, EH ＋ PVS and DM＋PVS. Positive rate of coronary heart disease was compared among above six groups. Results Positive rates of coronary heart disease in EH and DM patients were higher than that in control group（47.83% ,58. 49% vs 27. 780/00, P 〈 0. 05） ,however,there was no significant difference between PVS patients and no risk factor group （P） 0.05）. There was also no significant difference between EH and EH＋PVS patients or DM and DM＋PVS patients （P〉 0.05）. Conclusion New PVS in the elderly has no predictive value to diagnosis of coronary heart disease.
出处
《中华老年心脑血管病杂志》
CAS
北大核心
2010年第2期118-119,共2页
Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
关键词
室性早搏复合征
冠心病
冠状血管造影术
高血压
糖尿病
ventricular premature complexes
coronary disease
coronary angiography
hypertension
diabetes mellitus
