急性心肌梗塞合并室上性心律失常262例临床分析

首都医科大学学报 ›› 1986, Vol. 7 ›› Issue (1): 38-40,8.

急性心肌梗塞合并室上性心律失常262例临床分析

师树英, 汪家瑞

北京第二医学院附属宣武医院心血管科

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:1986-01-15 发布日期:1986-01-15

A Clinical Analysis of 262 Cases of AMI Complicated with Supraventricular Arrhythmias

Shi Shuying

Received:1900-01-01 Revised:1900-01-01 Online:1986-01-15 Published:1986-01-15

摘要/Abstract

摘要： 本文对我院1974～1984年1197例急性心肌梗塞中合并室上性心律失常的262例进行分析,并对心律失常类型、原因及预后进行了讨论。本组室上性心律失常包括房性早搏、交界性早搏、阵发性室上性心动过速、心房扑动和颤动。总发生率为21.8%。结果显示室上性心律失常的发生主要与心功能不全有关,与梗塞部位、窦房结动脉供血、是否累及心包和心房损伤无明确关系。急性心肌梗塞合并室上性心律失常的病死率与同期心肌梗塞的平均死亡率相比无明显差异,但当快速室上性心律失常,特别是房颤和阵发性室上性心动过速继发于心功能不全时,常使心功能进一步恶化,病死率明显增高。建议积极使用地高辛或电击复律,迅速扭转异位心律,改善心功能,或可减低由此引起的病死率。

Abstract: From 1974-1984 among 1197 cases of AMI admitted into our hospital,262 cases were complicated with supraventricular arrhythmias with anincidence of 21.8%.The supraventricular arrhythmias in this group included APB,JPB,PSVT,Atrial Flutter and Atrial Fibrillation.The types,causative factors and prognosis were discussed and theresults revealed that supraventricular arrhythmias were significantly morefrequent in patients with congestive heart failure and not definitelyrelated to the location of AMI,the blood supply to the sino-atrial node,the occurrence of pericarditis and atrial injury.The mortality of AMI complicated with supraventricular arrhythmiaswas not different from that of the total group of AMI,but we consideredthat when supraventricular tachyarrhythmias especially atrial fibrillationand PSVT were secondary tn congestive heart failure,they could causethe cardiac performance to deteriorate further and the mortality toincrease significantly.If effective treatment with digoxin or cardioversion was promptlygiven to improve the cardiac performance,the mortality might bedecreased.

师树英;汪家瑞. 急性心肌梗塞合并室上性心律失常262例临床分析[J]. 首都医科大学学报, 1986, 7(1): 38-40,8.

Shi Shuying. A Clinical Analysis of 262 Cases of AMI Complicated with Supraventricular Arrhythmias[J]. Journal of Capital Medical University, 1986, 7(1): 38-40,8.