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Revista del Nacional (Itauguá)
versión impresa ISSN 2072-8174
Resumen
PERALTA GIMENEZ, Ruth María et al. Electrocardiographic abnormalities in elderly patients interned in the Medical Clinic Service of the Hospital Nacional in 2018. Rev. Nac. (Itauguá) [online]. 2018, vol.10, n.2, pp.76-92. ISSN 2072-8174. https://doi.org/10.18004/rdn2018.0010.02.076-092.
Introduction:
the electrocardiogram (ECG) is a very usefull diagnostic method for certain cardiac pathologies. ECG abnormalities increase with age.
Objective:
to determine the electrocardiographic abnormalities in elderly patients admitted to the Medical Clinic Service of the National Hospital.
Methodology:
a prospective observational study was conducted in patients> 65 years old admitted between August and October 2018 in the Department of Internal Medicine (Hospital Nacional, Paraguay). All patients underwent a 12-channel ECG at rest and demographic and clinical data were recorded.
Results:
107 patients were included, with an average age of 76 ± 8 years, 62 men and 45 women. The most frequent comorbidity was arterial hypertension (73%). Abnormal ECG was detected in 66%. The most frequent abnormal findings were left anterior hemiblock (46%), prolonged QTc interval (18%), atrial fibrillation (16%) and sinus tachycardia (16%). No statistically significant relationship was found between the comorbidities and the electrocardiographic abnormalities cited.
Conclusion:
abnormal ECG in elderly patients was detected in 66%.
Palabras clave : electrocardiography; elderly; atrial fibrillation; prolonged QT syndrome; hypertension.