《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (09): 878-879.

• 临床研究 • 上一篇    下一篇

老年不稳定性心绞痛伴抑郁焦虑症患者的心率变异性分析

张颖; 王红; 杜丽霞; 张爱伦   

  1. 新疆医科大学第一附属医院干部病房,新疆乌鲁木齐 830054
  • 收稿日期:2007-03-13 出版日期:2007-09-01 发布日期:2007-09-01

Heart Rate Variability in Senile Coronary Artery Disease Complicated with Depression and Anxiety

ZHANG Ying, WANG Hong,DU Li-xia, et al   

  1. Department of Health Care, First Affiliated Hospital, Xinjiang Medical University, Urumqi 830054, Xinjiang, China
  • Received:2007-03-13 Published:2007-09-01 Online:2007-09-01

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被引次数

13

摘要： 目的研究老年不稳定性心绞痛伴抑郁焦虑症患者的心律变异性及心律失常特点。方法年龄≥60岁冠心病不稳定性心绞痛伴抑郁焦虑症患者39例(A组),不伴抑郁焦虑症患者51例(B组),分析Holter监测结果。结果与B组相比,A组患者24h正常R-R间期标准差(SDNN)、24h相邻R-R间期差值的均方根(RMSSD)、24h相邻R-R间期差值>50ms的百分数(PNN50)减低(P<0.05),室性心律失常、窦性心动过速、缺血性ST-T改变以及心率变异性(HRV)减低的检出率升高(P<0.05)。结论伴抑郁焦虑症老年冠心病不稳定性心绞痛患者的HRV减低,并且易发生室性心律失常、窦性心动过速及缺血性ST-T改变。

关键词: 老年, 冠心病, 抑郁症, 焦虑症, 心率变异性(HRV)

Abstract: Objective To investigate heart rate variability(HRV)of senile unstable angina patients complicated with depression and anxiety.Methods 39 senile unstable angina patients with depression and anxiety were selected as the A group,51 patients without depression and anxiety as B group.Their Holter reports(supervision)of two groups were analyzed.Results The SNDD,RMSSD,PNN50 in A group decreased compared with those in B group(P<0.05).The incidence of ventricular arrhythmias,ischemic ST segment depression and HRV in A group was higher than those in B group(P<0.05).Conclusion The senile unstable angina patients with depression and anxiety tend to have more ventricular arrhythmias,ischemic ST segment depression and less HRV.

Key words: senile, coronary artery disease(CAD), depression, anxiety, heart rate variability(HRV)