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[Arrhythmia in patients after 80 years of age]
A Tomaszewski1, M Prasał, P Dabrowski
1Katedry i Kliniki Kardiologii Ak. Med. w Lublinie.
Insights
This study found that nearly all elderly cardiology patients (96%) experience arrhythmias, primarily supraventricular. A significant portion (31.8%) required electrostimulation therapy for heart rhythm disturbances.
Area of Science:
- Cardiology
- Geriatrics
- Clinical Electrophysiology
Context:
- Elderly patients with circulatory diseases present complex cardiovascular challenges.
- Heart rhythm disturbances are common comorbidities in geriatric populations.
- The study focuses on patients treated at the Department of Cardiology in Lublin.
Purpose:
- To detect and assess the prevalence of heart rhythm disturbances in elderly patients.
- To evaluate the types of arrhythmias, including hyperexcitability and conduction disorders.
- To determine the frequency of pharmacological and electrostimulation treatments for these arrhythmias.
Summary:
- A 24-hour Holter monitoring study was conducted on 66 patients (aged 80-98 years).
- Supraventricular arrhythmias (96%) and atrioventricular conduction disturbances (35%) were highly prevalent.
- Significant ventricular arrhythmias (Lown class 4-5) were observed in 19% of patients, with 31.8% requiring electrostimulation therapy.
Impact:
- Highlights the high incidence of arrhythmias in elderly cardiac patients.
- Provides data on the necessity of advanced interventions like electrostimulation.
- Informs clinical practice regarding the management of heart rhythm disorders in geriatric cardiology.
Abstract:
The purpose of the work is detection and assessment of heart rhythm disturbances in elderly patients treated in the Department of Cardiology in Lublin for various circulatory system diseases. The study includes 66 patients aged 80-98 years, mean age 83.7 years (46 women and 23 men). During 24-hour ECG monitoring by Holter method the occurrence was evaluated of heart rhythm disturbances due to hyperexcitability and conduction disorders as well as the frequency of their treatment either pharmacological or by constant electrostimulation. Arrhythmias due to hyperexcitability were found in 96% of the patients and they were mostly supraventricular (89%). Atrioventricular conduction disturbances occurred in 35% of the patients. Ventricular arrhythmia requiring treatment (group 4 and 5 according to Lown) occurred in 19% of the patients. Electrostimulation therapy was used in 31.8% of the patients.