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2022, Number 3

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Rev Med UAS 2022; 12 (3)

Variability of heat rate in elderly with cardiac arrhythmias

Lara-Duck MF, Rosales-Martínez J, Gutiérrez-Sierra A, Mayek-Pérez N

Language: Spanish
References: 22
Page: 184-194
PDF size: 354.57 Kb.


ABSTRACT

Objective: The prevalence of cardiac arrhythmias (CA) in older patients increases due to cardiac and vascular anatomical changes as well as their comorbidities. HOLTER-24 monitoring variables were compared in older patients with AC in Reynosa, Mexico. Material and methods: descriptive, cross-sectional, observational, retrospective study; included 56 patients (33 women, 23 men) with a mean age of 83 years. 42 types of CA were identified by electrocardiography and HOLTER-24 information was generated based on gender; type and number of arrhythmias. Results: 30 types of CA were identified that were classified as sinus; atrioventricular blocks; branch blocks; supraventricular; ventricular; sinus-ventricular; others (12 types) and without arrhythmias. Sinus CA were the most frequent (13%) and, in women, sinus, supraventricular and ventricular (30%). The majority (83%) of the patients showed one or two CAs. Neither gender nor age affected (p ‹0.05) type or number of CAs. Patients with bundle branch or atrioventricular blocks showed higher LTVN (p ‹0.05). The highest PBV averages; LTV; LA, LTS, PERS, SDNN, LF; and BIGS were observed in patients with one, two, three or four ACs, respectively, and the lowest means (except SDNN and LF) were present in SA patients. There were negative associations (p ‹0.05) between type of CA with PBV and TAQV and positive (p ‹0.05) between total CA and LAHR, LTS, PERS, BIGS and CV. Conclusions: 42 types of CA were detected; sinus was the most frequent. The number of ACs influenced the HOLTER-24 variables to a greater extent.


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