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[Arrhythmias in the elderly].

A E Tàmmaro, D Ronzoni, O Bonaccorso

    Minerva Medica
    |May 19, 1983
    PubMed
    Summary
    This summary is machine-generated.

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    Heart arrhythmias are common in older adults, affecting nearly 30% of individuals over 60. This study highlights their association with other ECG changes and the importance of careful clinical evaluation to guide appropriate treatment.

    Area of Science:

    • Cardiology
    • Geriatrics
    • Epidemiology

    Context:

    • The prevalence of heart arrhythmias increases with age, particularly in individuals over 75.
    • Males exhibit a higher prevalence of certain arrhythmias like supraventricular extrasystoles (SE) and ventricular extrasystoles (VE).
    • Atrial fibrillation (AF) and atrial flutter (AFL) are more common in females.

    Purpose:

    • To determine the prevalence of heart arrhythmias in individuals over 60.
    • To investigate the relationship between arrhythmias and other electrocardiogram (ECG) alterations.
    • To assess demographic variations in arrhythmia prevalence.

    Summary:

    • Arrhythmias were found in 29% of 6059 subjects over 60, with higher rates in males and those over 75.
    • Supraventricular extrasystoles (SE), atrial fibrillation (AF), and ventricular extrasystoles (VE) were the most prevalent arrhythmias.

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  • Arrhythmias were significantly associated with ECG findings of left ventricular hypertrophy, ischemia, myocardial infarction (MI), and minor T-wave changes (MTC).

    • Impact:

    • The presence of arrhythmia in older adults necessitates a thorough clinical and cardiological assessment.
    • Avoidance of unnecessary and potentially harmful antiarrhythmic drug prescriptions.
    • Prevention of misdiagnosis of underlying conditions that could benefit from specific treatments.