MAJOR ELECTROCARDIOGRAPHIC ABNORMALITIES IN PERSONS AGED 65 YEARS AND OLDER (THE CARDIOVASCULAR HEALTH STUDY)
MAJOR ELECTROCARDIOGRAPHIC ABNORMALITIES IN PERSONS AGED 65 YEARS AND OLDER (THE CARDIOVASCULAR HEALTH STUDY)
复制标题
DOI：
10.1016/0002-9149(92)91231-r
复制
发表时间：
1992-05-15
影响因子：
2.8
通讯作者：
RAUTAHARJU, PM
中科院分区：
文献类型：
--
作者：
FURBERG, CD;MANOLIO, TA;RAUTAHARJU, PM
心电图异常常见于老年患者，但其在自由生活的老年人群中的患病率尚不明确。此外，许多这些异常的临床意义是不确定的。心血管健康研究--一项关于老年人中风和冠心病危险因素的研究--确定了5,150名年龄大于或等于65岁的成年人的主要心电图异常的患病率。心室传导缺陷、主要Q/QS波、左心室肥大、孤立性主要ST-T波异常、房颤和一度房室传导阻滞被统称为主要心电图异常。在整个队列中，任何重大心电图异常的患病率为29%，在2，413名没有冠状动脉疾病或全身性高血压病史的参与者中为19%，在2，737名有冠状动脉疾病或高血压病史的参与者中为37%。无论病史如何，男性主要心电图异常的患病率均高于女性，且有随年龄增长而增加的趋势。5.2%的患者出现Q/QS波，其中超过一半的患者既往未报告心肌梗死。主要的心电图异常常见于老年男性和女性，无论是否有心脏病史。
Electrocardiographic abnormalities are often found in older patients, but their prevalence in free-living elderly populations is not well-defined. In addition, the clinical significance of many of these abnormalities is uncertain. The prevalence of major electrocardiographic abnormalities was determined in 5,150 adults aged greater-than-or-equal-to 65 years from the Cardiovascular Health Study - a study of risk factors for stroke and coronary heart disease in the elderly. Ventricular conduction defects, major Q/QS waves, left ventricular hypertrophy, isolated major ST-T-wave abnormalities, atrial fibrillation and first-degree atrioventricular block were collectively categorized as major electrocardiographic abnormalities. Prevalence of any major electrocardiographic abnormality was 29% in the entire cohort, 19% among 2,413 participants who reported no history of coronary artery disease or systemic hypertension, and 37% among 2,737 participants with a history of coronary artery disease or hypertension. Prevalence of major electrocardiographic abnormalities was higher in men than in women regardless of history, and tended to increase with age. Major Q/QS waves were found in 5.2%, and more than half were in those who did not report a previous myocardial infarction. Major electrocardiographic abnormalities are common in elderly men and women irrespective of the history of heart disease.