中老年心房颤动62例冠状动脉造影临床分析.docVIP

中老年心房颤动62例冠状动脉造影的临床分析 　　[摘要] 目的 采用冠状动脉造影检查评估中老年心房颤动与冠心病的关系。方法 收集我院2009年1月～2013年12月间未明确病因的中老年心房颤动患者定为研究组，并选择同期住院非冠心病房颤患者62例定为对照组，分析研究组危险因素，并对所有患者进行冠脉造影检查，观察两组患者与冠心病关系。结果 高血压患房颤发生率明显高于其他因素发生率，差异具有统计学意义（P0.05）；缺血性ST-T改变为47.37%，与本组非ST-T改变及对照组ST-T改变对比，差异具有统计学意义（P0.05）。 结论 中老年为心房颤动高发人群，如有危险因素或并发危险因素，未明确病因合并持续性房颤且ST-T改变患者，应考虑为冠心病引发，但不能确诊，仍应以冠脉造影检查明确诊断。 　　[关键词] 中老年；心房颤动；冠状动脉造影；冠心病 　　[中图分类号] R541.7 [文献标识码] B [文章编号] 1673-9701（2014）27-0129-03 　　[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 significance（P0.05）. 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（P0.05）. 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. 　　[Key words] Middle-aged and elderly； Atrial fibrillation； Coronary angiography； Coronary heart disease 　　心房颤动是以中老年为主要发病人群的常见病变，且随年龄增长发病率逐年增高。相关文献调查显示，我国房颤患病率为0.77%，80岁及以上患病