Screening and intervention methods for asymptomatic arrhythmia in officers and soldiers of a certain army
CAO Tiantian1, ZHANG Yun2, ZHANG Lin1, LV Jungang1, LI Ming1, WANG Na1, ZHAI Li1
1. Department of Medicine, Beijing Provincial Crops Hospital of Chinese People’s Armed Police Force, Beijing 100027,China; 2. Department of Special Emergency Surgery, Characteristic Medical Center of PAP, Tianjin 300162, China
Abstract：Objective To explore the screening and intervention Methods of asymptomatic arrhythmia in officers and soldiers of a certain army.Methods The data of 80 officers and soldiers with asymptomatic arrhythmia in a certain army from December 2019 to December 2021 were collected, and 50 officers and soldiers with physical examination and auscultation rules were selected as the control group; Analysis and comparison of heart rate variability (HRV) indicators was made, such as the percent of the difference between adjacent normal RR intervals>50 ms (pNN50), 24h normal RR interval standard deviation (SDNN), average NN per 5min The standard deviation of the interval (SDANN), the root mean square of the difference between adjacent normal RR intervals (RMSSD), the number of NN intervals divided by the height of the histogram during the NN period (HRV triangle index) and the overall differences of ambulatory blood pressures [mean systolic blood pressure (mSBP), overall mean diastolic blood pressure (mDBP), mean daytime mean systolic blood pressure (dSBP), mean daytime mean diastolic blood pressure (dDBP), mean nighttime mean systolic blood pressure (nSBP), and mean nighttime mean diastolic blood pressure (nDBP) ]. The Results of ultrasonography in the two groups were observed.Results Among the 80 patients with asymptomatic arrhythmia, benign premature ventricular contractions accounted for the highest proportion, 61.25% (49/80); PNN50 (3.29%±1.50%), SDNN[(160.02±43.38)ms], SDANN [(146.58±41.10)ms], RMSSD[(33.65±13.34)ms], HRV triangular index (45.77±13.36) in the observation group were significantly lower than those in the control group [(11.05%±5.39%), (247.21±51.35)ms, (238.50±59.78)ms, (61.10±20.17)ms, 57.94±15.32], P＜0.05; the levels of mSBP [(117.35±8.94)mmHg], mDBP [(67.47±5.38)mmHg], dSBP [(125.98±10.35)mmHg], dDBP[(74.33±8.25)mmHg] and nDBP [(62.45±4.84)mmHg] in the observation group were significantly higher than those in the control group [(112.32±7.89), (64.31±4.29), (121.05±7.99), (70.78±5.90), (59.32±3.65) mmHg], P＜0.05; the echocardiography Results of all officers and soldiers showed that no atrial and ventricular enlargement and pulmonary hypertension were found.Conclusion The asymptomatic arrhythmia of soldiers in the army is manifested as a decrease in heart rate variability and an increase in ambulatory blood pressure, and targeted preventive measures should be taken in time.
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CAO Tiantian, ZHANG Yun, ZHANG Lin, LV Jungang, LI Ming, WANG Na, ZHAI Li. Screening and intervention methods for asymptomatic arrhythmia in officers and soldiers of a certain army. Med. J. Chin. Peop. Armed Poli. Forc., 2022, 33(8): 659-662.
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2022, Vol. 33 
