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| Clinical analysis on 62 senile patients with atrial fibrillation |
| YAO Guang-Hui- |
| （Department of Senile Internal Medicine， Affiliated Third Hospital of Bengbu， Medical College of Southeast University， Bengbu Anhui 233000， China） |
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Abstract Objective To study the pathogeny and type of senile atrial fibrillation（AF）， analyze the related diameter of left atria and the anticoagulant treatment status. Methods Sixty two patients over 80 years old senile patients with AF were analysed. Results Patients with paroxysmal，prolonged and persistent AF accounted for 33.87%， 22.58% and 43.55%. Coronary artery disease is the most common etiology， followed by hypertension，valvular degeneration and electrolyte disorders.As compared with prolonged AF and persistent AF， the left atrial diameter of paroxysmal AF was smaller，which showed a significant difference（P<0.05）. Among 62 patients the occurrence of arterial embolization was 22 cases（35.48%）; Cerebral stroke was 20 cases（32.26%）. 21 of patients did not receive any anticoagulation therapy. Conclusion Coronary heart disease and hypertension is the common cause of senile AF. Stroke is one of the important complications，66.13% of patients received antithrombotic therapy with antiplatelet therapy. Antithrombotic treatment for senile patients with atrial fibrillation should be cautious.
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| ［1］周自强，胡大一，陈捷，等.中国心房颤动现状的流行病学研究［J］.中华内科杂志，2004，43（7）:491-494. ［2］Dobrev D， Nattel S. New antiarrhythmic drugs for treatment of atrial fibrillation［J］. Lancet， 2010， 375（9721）: 1212- 1223.［3］Lokshy S， Mewis C， Kuhlkamp V. Atrial fibrillation in coronary artery disease［J］. Inter J Caedio， 2000， 72（2）: 133-136. ［4］和渝斌，张桂珍，王晓明，等.心房颤动与冠状动脉硬化 性心脏病相关性分析［J］.中华心律失常学杂志，1999，3 （3）:168-170. ［5］Wijffels MC， Kirchhof CJ， Dorland R，et al. Atrial fibrilla- tion begets atrial fibrillation:a study in awake chronically instrumented goats［J］.Circulation，1995， 92（7）:1954- 1968. ［6］Asanin M，Perunicic J，Mrdovic I，et al. Prognostic signifi- cance of new atrial fibrillation and its relation to heart failure following acutemyocardial infarction［J］. Eur J Heart Fail， 2005， 7（4）:671-676. ［7］曹永革，李瑞杰，许玉韵，等.高龄与青年急性心肌梗死 患者的不同临床特点［J］.中国医刊，2003，38（8）:41-43. ［8］中华医学会心血管病分会.中国部分地区心房颤动住院 病例回顾性调查［J］.中华心血管病杂志，2003， 31（12）:913-916. |
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2012, Vol. 21 
