Marinchak R A, Friehling T D, Kowey P R
Department of Medicine, Medical College of Pennsylvania, Philadelphia.
Clin Geriatr Med. 1988 Feb;4(1):83-110.
The elderly patient is susceptible to a variety of cardiac rhythm disturbances that may or may not cause symptoms. It is incumbent on the physician who cares for geriatric patients to have a familiarity with the diagnostic criteria for each of these arrhythmias and with the drugs and devices that are used to treat them. This includes the potential adverse effects of therapy and methods to counter them. Even more important is a sense of when to intervene, which is based, in large measure, on a knowledge of "normal variation" in the aged.
老年患者易患多种心律失常,这些心律失常可能有症状,也可能没有症状。照顾老年患者的医生有责任熟悉每种心律失常的诊断标准以及用于治疗它们的药物和器械。这包括治疗的潜在不良反应及其应对方法。更重要的是何时进行干预的意识,这在很大程度上基于对老年人“正常变异”的了解。