摘要
本文对15例AMI患者行溶血栓治疗,13例出现再灌注性心律失常,发生率为86.7％,均发生在溶栓疗法后10～30(平均21.8)分钟。多为室性早搏及室性心动过速。临床资料还表明,左室射血分数越低,再灌注性心律失常发生的机会越多;再灌注性心律失常的发生与溶栓效果有关。溶栓效果显著者均发生再灌注性心律失常,提示其发生可作为冠脉再通的指标之一。
13 cases of reperfusion arrhythmias were observed in 15 patients with AMI treated by thrombolytic therapy. The incidence of reperfusion arrhythmias was 86.7%. It occured on 10～30 minutes after thrombolytic therapy (mean 21.8 minutes). Most of them were ventricular premature beats and ventricular tachycardias. The incidence of reperfuston arrhythmias was 50% (2/4) in 4 patients with LVEF>60% and 100% (9/9), in 9 patients with LVEF<60% (P<0.005). It seemed that lower LVEF had higher incidence of reperfusion arrythmias. The incidence of reperfusion arrythmlas was interrelated with the effect of thrombolytie therapy. All the patients with obvious effect developed reperfusion arrhythmias.
出处
《临床心血管病杂志》
CAS
CSCD
北大核心
1991年第1期18-20,共3页
Journal of Clinical Cardiology
