接受综合老年护理的老年人中的心律失常:患病率和相关因素
Marco Meyer1, Andreas Arnold1, Thomas Stein1
1Department of Geriatrics, Diakonie Hospital Jung-Stilling Siegen, Wichernstrasse 40, 57074 Siegen, Germany.
Clinics and practice
|January 22, 2024
概括
在接受老年护理的老年人中,过早的心房收缩,过早的心室收缩和心房动是常见的心律失常. 心房动是这群人中跌倒的重要危险因素.
科学领域:
- 老年医学 老年医学
- 心脏病学 心脏病学
- 电力生理学 电力生理学
背景情况:
- 心血管疾病和心律失常随着年龄的增长而增加,导致显著的发病率和死亡率.
- 接受综合老年保健 (CGC) 的老年人往往有复杂的健康需求.
- 了解这一人口群中的心律失常患病率对于风险分层和管理至关重要.
研究的目的:
- 确定在接受综合老年护理的老年人中心律失常的患病率.
- 调查心律失常和功能状态之间的临床关联.
- 确定心律失常是潜在的风险因素,可能导致不良结果,如跌倒.
主要方法:
- 霍尔特心电图监测 (HECG) 对接受CGC的住院老年患者进行了监测.
- 分析了心律失常的患病率,以及患者的特征.
- 功能状态使用巴特尔指数 (BI),定时启动和移动测试 (TUG) 和蒂内蒂平衡和步态测试 (TBGT) 进行评估.
主要成果:
- 包括626名老年人 (平均年龄为83.9岁,67.7%为女性).
- 最常见的心律失常是早发性心室收缩 (87.2%),早发性心房收缩 (71.7%),心房动 (22.7%).
- 心房动与高跌倒风险相关 (TBGT ≤18),以及与无法行走相关的过早心室收缩 (TUG评分5).
结论:
- 在接受CGC的老年人中,早发性心房收缩,早发性心室收缩和心房非常普遍.
- 节律失常的模式在两性之间有所不同,在女性中,早发性心房收缩更常见,在男性中,早发性心室收缩更常见.
- 心房动是这一老年人群中跌倒的重要危险因素,突显了综合心脏和老年护理的需要.
相关概念视频
01:28Mechanism of Cardiac Arrhythmias
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Arrhythmias are irregular heart rhythms occurring when the heart's electrical impulses become abnormal. These disturbances can lead to various symptoms, depending on their severity and the underlying cause. Some common factors contributing to arrhythmias include hypoxia, ischemia, electrolyte imbalances, excessive catecholamine exposure, drug toxicity, and muscle overstretching. Arrhythmias can be classified into two main types based on the rate and site of origin of abnormal heart rhythms.
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01:28Disturbances in Heart Rhythm
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Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
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01:14Decreased pulse rate
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Bradycardia is a medical condition in which the heart rate is slower than normal. It occurs when the heart's natural pacemaker, the sinus node, generates slower electrical impulses than the standard rhythm. In adults, bradycardia is diagnosed when the pulse rate falls below 60 beats per minute, indicating a deviation from the normal heart rate range.
There are specific risk factors that can elevate the likelihood of developing bradycardia. Advanced age is a significant factor, with...
There are specific risk factors that can elevate the likelihood of developing bradycardia. Advanced age is a significant factor, with...
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01:17Increased pulse rate
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Tachycardia is a condition marked by an abnormally fast or irregular heart rate, surpassing the typical resting rate. In adults, tachycardia is characterized by a pulse rate ranging from 100 to 180 beats per minute. The increased heart rate can result in inadequate blood flow to various body parts, ultimately diminishing the oxygen supply to organs and tissues.
Many factors can elevate the risk of developing tachycardia. These include advanced age, a family history of arrhythmias, and an...
Many factors can elevate the risk of developing tachycardia. These include advanced age, a family history of arrhythmias, and an...
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01:16ECG Interpretation of Arrhythmias I: Sinus Arrhythmias
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Arrhythmias are disturbances in the heart's rhythm that lead to abnormal heartbeats. These irregularities can originate from different parts of the heart and are classified based on their origin and nature.
Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism,...
Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism,...
216
01:30Pulse rhythm
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Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
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