目的研究分析老年冠心病的动态心电图特点。方法通过对579例老年冠心病患者的动态心电图（DCG）检测结果进行分析，总结老年冠心病动态心电图的特点。结果窦性心律失常（窦性心律过缓，窦性心律过速，窦房阻滞、停搏）65例，房性心律失常575例，复杂性房性心律失常303例，室性心律失常291例，复杂性室性心律失常111例，有症状性心肌缺血181例，无症状性心肌缺血323例。结论老年冠心病动态心电图最常见的是房性心律失常（99.31%）、复杂性房性心律失常（52.33%）和心肌缺血（87.05%），室性心律失常检出率也很高（50.26%）。%Objective To study the dynamic electrocardiogram in elderly patients with coronary heart disease. Methods 579 cases of patients with senile coronary heart disease patients by dynamic electrocardiogram (DCG) detection analysis, summary of dynamic electrocardiogram characteristics in elderly patients with coronary heart disease. Results Sinus arrhythmia (sinus bradycardia, sinus tachycardia, sinus arrest, cardiac arrest) in 65 cases, atrial arrhythmia in 575 cases, complicated atrial arrhythmia in 303 cases, 291 cases of ventricular arrhythmias, complex ventricular arrhythmia in 111 patients with symptomatic myocardial ischemia in 181;cases, asymptomatic myocardial ischemia:report of 323 cases. Conclusion The most common dynamic electrocardiogram in elderly patients with coronary heart disease atrial arrhythmia (99.31%), the complexity of atrial arrhythmias (52.33%) and (87.05%) myocardial ischemia, ventricular arrhythmia detection rate is very high (50.26%).
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