Huang Jen-Hung, Lin Ying-Qin, Pan Nan-Hung, Chen Yi-Jen
Division of Cardiovascular Medicine, Taipei Medical University-Wan Fang Hospital, 111, Hsin-Lung Road, Sec. 3, Taipei, Taiwan.
Heart Vessels. 2010 Nov;25(6):500-8. doi: 10.1007/s00380-010-0026-z. Epub 2010 Oct 9.
Aging plays an essential role in cardiac pathophysiology. Knowledge on the ventricular repolarization in very old individuals is limited. An increase of QT dispersion is associated with higher cardiovascular mortality. The purpose of this study is to investigate whether aging changes the QT dispersion in the very old. Heart rate, P wave duration, PR interval, QRS axis, QRS duration, QT interval, and QTc interval were measured from 12-lead resting ECG. QT dispersion (46 ± 21, 47 ± 17, 69 ± 31 ms, p < 0.005) was significantly increased in the age group ≧85 years (n = 29, 89 ± 4 years) than in the age group 75-84 years (n = 33, 79 ± 3 years) and the age group 65-74 years (n = 32, 68 ± 3 years). Aging modulates dispersion of ventricular repolarization, which may contribute to the cardiac mortality in the very old Asian population.
衰老在心脏病理生理学中起着至关重要的作用。关于高龄个体心室复极化的知识有限。QT离散度增加与较高的心血管死亡率相关。本研究的目的是调查衰老是否会改变高龄人群的QT离散度。通过12导联静息心电图测量心率、P波时限、PR间期、QRS电轴、QRS时限、QT间期和QTc间期。≧85岁年龄组(n = 29,89±4岁)的QT离散度(46±21、47±17、69±31毫秒,p < 0.005)显著高于75 - 84岁年龄组(n = 33,79±3岁)和65 - 74岁年龄组(n = 32,68±3岁)。衰老调节心室复极化离散度,这可能导致高龄亚洲人群的心脏死亡率增加。