中国现代医生Issue(27)：129-131,3.
中老年心房颤动62例冠状动脉造影的临床分析
Clinical analysis on coronary angiography in 62 middle-aged and elderly patients with atrial fibrillation
蒋柏枫1
作者信息
- 1. 湖南省永州市中心医院北院心内科，湖南永州 425000
- 折叠
摘要
Abstract
Objective To evaluate the association between atrial fibrillation and coronary heart disease in middle-aged and elderly patients based on coronary angiography. Methods Middle-aged and elderly patients with unknown atrial fibrillation treated in our hospital from Jan 2009 to Dec 2013 were selected as the study group. 62 patients with non-coronary artery disease induced atrial fibrillation hospitalized in our hospital at the same period were selected as the control group. The risk factors of the study group were analyzed. Coronary angiography was conducted on all patients to observe the association between these patients and coronary heart disease. Results The patients with hypertension had significantly higher incidence of atrial fibrillation than patients with other diabetic disorders, with statistical signifi-cance (P<0.05). The incidence of persistent atrial fibrillation in the study group was 45.45%, significantly higher than paroxysmal atrial fibrillation (16.17%) in the study group(P<0.05); but without statistical difference from persistent a-trial fibrillation in the control group(P>0.05). The incidence of ischemic ST-T change in the study group was 47.37%, with significant difference from non-ST-T change in the study group and ST-T change in the control group (P<0.05). Conclusion Middle-aged and elderly populations have high risk of atrial fibrillation. With presence of risk factors or concomitant risk factors, patients with unknown persistent atrial fibrillation and ST-T change should be considered as induced by coronary heart disease. If unable to confirm, coronary angiography should be used to confirm diagnosis.关键词
中老年/心房颤动/冠状动脉造影/冠心病Key words
Middle-aged and elderly/Atrial fibrillation/Coronary angiography/Coronary heart disease分类
医药卫生引用本文复制引用
蒋柏枫..中老年心房颤动62例冠状动脉造影的临床分析[J].中国现代医生,2014,(27):129-131,3.
