Detection of arrhythmias in a representative sample of the Athens population.
Detection of arrhythmias in a representative sample of the Athens population.
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在雅典人口的代表性样本中检测心律失常。
DOI：
10.1093/eurheartj/8.suppl_d.17
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发表时间：
1987
影响因子：
39.3
通讯作者：
Spyridon D. Moulopoulos
中科院分区：
文献类型：
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作者：
E. Diamantopoulos;Lambros P. Anthopoulos;Serafim Nanas;G. Maliaras;D. Chrisos;Spyridon D. Moulopoulos
在2000名年龄在18-81岁的雅典人的代表性样本中研究了心律失常的患病率和类型，这些人根据布鲁斯方案在跑步机上进行运动试验。结果发现，121人（平均年龄55.7 +/- 14.9岁，31%大于65岁），表现出心律失常的心电图在运动期间或10分钟内，它（患病率6.05%）。年龄调整后的患病率为6.7%，男性为7.1%，女性为6.2%。在这2000名雅典人中，（2.15%）表现为单灶性VPC（23例VPC min-1大于或等于3，20例VPC min-1小于2），10例（0.5%）多灶性VPC（6个使用单个VPC，4个使用配对VPC），12个（0.6%）二联律，25（1.25%）室上性PC，16（0.8%），室上性PC和VPC，5（0.25%）呼吸性心律失常，3例冠状窦心律3例（0.15%），心房颤动3例（0.15%），室性心动过速1例（0.05%），一度房室传导阻滞2例（0.1%），二度房室传导阻滞1例（0.05%）。在这121人中，有32人（26.5%）在休息时也存在心律失常。室性早搏和室上性早搏是最常见的心律失常类型（87.6%）。大多数VPC（69%）和室上PC（80%）出现在运动后10分钟的观察期内。在运动试验中，有心律失常的参与者比无心律失常的参与者更容易发现冠心病和心脏瓣膜缺陷（分别为19.83%和2.48%对0.27%）。
The prevalence and type of arrhythmias has been studied in a representative sample of 2000 Athenians, aged 18-81 years, who underwent exercise testing on a treadmill according to the Bruce protocol. It was found that 121 persons (mean age 55.7 +/- 14.9 years, 31% greater than 65 years), exhibited arrhythmias on the ECG during either the exercise or the 10 min period following it (prevalence 6.05%). The age-adjusted prevalence was 6.7%, that is 7.1% for men and 6.2% for women. Out of these 2000 Athenians 43 (2.15%) exhibited unifocal VPCs (23 with greater than or equal to 3 VPCs min-1 and 20 with less than 2 VPCs min-1), 10 (0.5%) multifocal VPCs (6 with single and 4 with paired VPCs), 12 (0.6%) bigeminy, 25 (1.25%) supraventricular PCs, 16 (0.8%), supraventricular PCs and VPCs, 5 (0.25%) respiratory arrhythmia, 3 (0.15%) coronary sinus rhythm, 3 (0.15%) atrial fibrillation, one (0.05%) ventricular tachycardia, 2 (0.1%) first-degree and one (0.05%) second-degree AV block. In 32 out of those 121 persons arrhythmias were present also at rest (26.5%). Ventricular premature contractions and/or supraventricular PCs were the most common type of arrhythmias (87.6%). The majority of VPCs (69%) and supraventricular PCs (80%) appeared during the 10-min observation period following exercise. Coronary heart disease and valvular heart defects were found more frequently among the participants with than those without arrhythmias at exercise testing (19.83% vs. 8.83% and 2.48% vs. 0.27%, respectively).