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[老年病学中的心脏病学方法]

[Cardiological methods in geriatrics].

作者信息

Forin G

出版信息

Minerva Med. 1983 May 19;74(21):1253-78.

PMID:6856142
Abstract

A brief summary of a course in geriatric cardiology given to geriatric specialists is presented in the form of a review of cardiological methods applicable to the examination of the elderly, and the diagnosis of their heart diseases. Reference is made to the recent literature and work done at the University of Pavia with particular attention to "senile myocardiopathy" and "bundle-branch blocks and semiblocks in the elderly". The indications, modalities, meaning, and limits of non-invasive examinations are explained. Mention is also made of the usefulness of a study of His's bundle, cardiac catheterisation, and angiocardiography in selected cases, particularly when these are oriented towards therapeutic or rehabilitative management, bearing in mind the current tendency to enlarge the frontiers of heart surgery when the result will be to prolong or improve the quality of life, even in the elderly.

摘要

本文以适用于老年人检查及其心脏病诊断的心脏病学方法综述的形式,呈现了一门面向老年专科医生的老年心脏病学课程的简要总结。文中参考了近期文献以及帕维亚大学开展的研究工作,特别关注了“老年心肌病”和“老年人的束支传导阻滞及半阻滞”。文中解释了非侵入性检查的适应症、方式、意义及局限性。还提及了在特定病例中研究希氏束、心导管检查及心血管造影的有用性,特别是当这些检查针对治疗或康复管理时,同时考虑到当前心脏手术边界扩大的趋势,其结果是延长或改善生活质量,即使对老年人也是如此。

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