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急性心肌梗塞溶栓后心律失常的意义及价值(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
1995年第4期
页码:
233-235
栏目:
论著
出版日期:
1995-07-01

文章信息/Info

Title:
Significance of arrhythmias after thrombolytic therapy in patients Wlth acute muocardlal intarction
作者:
李爱国1 马美鸾2 孙安丽2
1济南军区总医院心内科 济南 250031 2山东省立医院
Author(s):
Li Aiguo1; Ma Meiluan2; Sun Anli2
Department of Cardiology，General Hospital of Jinan Command，PLA，Jinan 25003l
关键词:
心肌梗塞; 心律失常; 尿激酶; 心电描记术; 便携式
Keywords:
myocardial infarction; arrhythmia; urokinase; electrocardiography; ambulatory
分类号:
-
DOI:
-
文献标识码:
-
摘要:
作者对30例急性心肌梗塞患者，经静脉应用尿激酶溶栓治疗，同时应用24 h动态心电图监测。结果显示：前6 h内．16例冠脉再通者，加速性室性自身节律发生率为81.3％；14例冠脉未通者，室性自身节律发生率为7.1％(P<0.01)。用其判断冠脉再通的敏感性为81.3％，特异性为92.9％，提示加速性室性自身节律是急性心肌梗塞患者溶栓后预测冠脉再通较可靠的无创指标。
Abstract:
Thirty patients with acute myocardial infarction were studied．All the patients had 24 h Holter monitoring after admission and received intravenous urokinase.Successful reperfusion Was achieved in 16 patients．The incidence of accelcrated idioventricular rhythm was higher than that in the nonreperfusion patients(87.5％VS 14.30％，P<0.01)．This suggests that it may be a noninvasive diagnostic criterion for reperfusion(sensitivity 87.5％，specificity 85.7％)．

参考文献/References

［1］急性心肌梗塞溶栓疗法参考方案．中华心血管病杂志 1992；19：137.

［2］Gressin V．Louvard Y．Pezzano M．et al．Holter recording of ventricular arrhythmias during intravenous thrombolysis for acute myocardial infarction．Am J Cardiol 1992；69：152.

［3］Maras P．Grazia D，Klugmann S．et al．Reperfusion ventricular arrhythmias during intracoronary thrombolysis．Eur Heart J 1986；7(Suppl A)：23.

［4］Goldberg S．Greenspon AJ，Urban PL，et al．Reperfusion arrhythmia：A marker of restoration of antegrade flow during intracoronary thrombolysis for acute myocardial infarction．Am Heart J 1983；105：26.

［5］ Murdock DK．Loeb JM．Euler DE，反et al．Electrophysiology of coronary reperfusion：A mechanism for reperfusion arrhythmias．Circulation 1980；61：175.

［6］Koren G．Weiss AT．Ben-David Y．et al．Bradycardia and hypotension following reperfttsion with streptokinase(Bezold-Jarisch reflex)：A sigh of coronary thrombolysis and myocardial salvage．Am Heart J 1986；112：468.

［7］Kuck KH．Schofer J．Schluter M．et al．Reperfusion arrhythmias in man：Influence of intravenous lidocaine．Eur Heart J 1985；6(Suppl E)：163.

［8］Manning AS．Hears DJ．Reperfusion induced arrhythmias：Mechanisms and prevention．J Mol Cell Cardiol 1984；16：497.

备注/Memo

备注/Memo:
Received 1994-08-25；revised 1995-03-23
更新日期/Last Update: 1995-07-01