Casiglia E, Spolaore P, Ginocchio G, Marchioro M, Mazza A, di Menza G, Maniati G, Daskalakis C, Colangeli G, Ambrosio G B
Institute of Clinical Medicine, University of Padova, Italy.
Jpn Heart J. 1993 Sep;34(5):567-77. doi: 10.1536/ihj.34.567.
The prognostic value of electrocardiographic abnormalities has not been widely studied in the elderly. We examined the Minnesota code ECG items in 2254 elderly subjects of the Cardiovascular Study in the Elderly (CASTEL), performed on an Italian general population. In our experience, codes for ischaemia, 1st-degree atrio-ventricular block, bundle branch blocks, myocardial infarction, atrial fibrillation or sinus tachycardia were predictors of overall mortality in females, while only the former three items were predictors in men. Although ischaemia, left bundle branch block and atrial fibrillation were predictors of cardiovascular mortality in both sexes, right bundle branch block, supraventricular arrhythmias and left ventricular hypertrophy were predictors only in men, and 1st-degree atrio-ventricular block were predictors only in women. Surprisingly, left anterior haemiblock and bifascicular blocks were not predictive of mortality.
心电图异常的预后价值在老年人中尚未得到广泛研究。我们在意大利普通人群中进行的老年心血管研究（CASTEL）的2254名老年受试者中检查了明尼苏达心电图编码项目。根据我们的经验，缺血、一度房室传导阻滞、束支传导阻滞、心肌梗死、心房颤动或窦性心动过速的编码是女性全因死亡率的预测因素，而在男性中只有前三项是预测因素。尽管缺血、左束支传导阻滞和心房颤动是两性心血管死亡率的预测因素，但右束支传导阻滞、室上性心律失常和左心室肥厚仅在男性中是预测因素，一度房室传导阻滞仅在女性中是预测因素。令人惊讶的是，左前分支阻滞和双分支阻滞不是死亡率的预测因素。
