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心动过速

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A new hypothesis is proposed that it may be possible to selectively ablate retrograde fast pathway to cure typical atrioventricular nodal reentrant tachycardia.

设计一种新的射频消融方法对25例反复发作的典型房室结折返性心动过速进行消融治疗。

Objective To investigate the mechanism of atrial tachycardia and the results of radiofrequency ablation.

目的 探讨房性心动过速的发生机制和射频消融结果。

Quiet adult heart rate over 120 times/min, and for the tachycardia less than 40 times/min for bradycardia.

成人安静心率超过120 次/ min 者,为心动过速低于40 次/ min 者为心动过缓。

Torsade de pointes is a kind of polymorphic ventricular tachycardia due to repolarization prolongation, it could induce cardiac sudden death, and set us an ever-increasing appreciation.

尖端扭转型室性心动过速(torsade de pointes,TdP)是一类与复极延长有关的多形性室性心动过速,可导致心源性猝死,正越来越引起重视。

This study aims to explore the role of isoprenalinein the differential diˉagnosis of the two arrhythmias stated above.

目的 探讨异丙肾上腺素在慢室率阵发性心动过速与非阵发性心动过速鉴别诊断中的价值。

Results The radiofrequency catheter ablation combined with coronary artery angiography was successfully performed in all patients, including sixteen patients with paroxysmal supraventricular tachycardia, three patients with idiopathic left ventricular tachycardia and two patients with frequency monomorphic ventricular premature beats.

结果 本组所有患者均成功完成冠状动脉造影术与射频消融术的联合介入治疗,其中阵发性室上性心动过速16例、特发性左室室性心动过速3例,频发单形性室性早博2例。

Results Among the ECG of old ophthalmic patients,right bundle branch block (25.8%)was the most common one,followed by sinus bradycardia(25.1%),supraventricular premature complexes(13.7%),sinus tachycardia (12.1%),ventricular premature compl exes(9.5%),sinus arrhythmia(7.9%) left bundle branch block(7.4%),AV block(5.9%), atrial fibrillation(5.4%).

结果:老年眼科疾病患者心律失常中右束支传导阻滞最多见(25.8%),其次为窦性心动过缓(25.1%),室上性早搏(13.7%),窦性心动过速(12.1%),室性早搏132例(9.5%),窦性心律不齐(7.9%),左束支传导阻滞(7.4%),房室传导阻滞(5.9%),房颤(5.4%)。

Results Among the ECG of old ophthalmic patients,right bundle branch block (25.8%)was the most common one,followed by sinus bradycardia(25.1%),supraventricular premature complexes(13.7%),sinus tachycardia (12.1%),ventricular premature compl exes(9.5%),sinus arrhythmia(7.9%) left bundle branch block(7.4%),AV block(5.9%), atrial fibrillation(5.4%).

完结:老年眼科疾病患者心律反常中右束支传导阻滞最多见(25.8%),其次为窦性心动过缓(25.1%),室上性早搏(13.7%),窦性心动过速(12.1%),室性早搏132例(9.5%),窦性心律不齐(7.9%),左束支传导阻滞(7.4%),房室传导阻滞(5.9%),房颤(5.4%)。

Sinus bradycardia or sinus bradycardia with arrhythmia,sino-auricular block,sinus stopping beat with junctional abnormal beat occurred in15cases;Sinus bradycardia with ST-T changes occurred in10cases,ab-normal excitation(including ventricular,supraventricular premature beat with tachycardia)occurred in6cases the cardiac function of9cases were checked up:stroke volume,cardiac indexand ejection timewere normal or on the low side.

窦性心动过缓或窦性心动过缓伴不齐、窦房传导阻滞、窦性停搏伴交界性异搏共18例;窦性心动过缓伴ST-T改变11例;兴奋性异常(室性、室上性早搏伴心动过速)6例。9例心功能检查:心输出量、心脏指数、射血分数三项指标在正常偏低水平。3例心脏彩超三尖瓣赘生物,诊断为感染性细菌性心内膜炎。

Sinus bradycardia or sinus bradycardia with arrhythmia,sino-auricular block,sinus stopping beat with junctional abnormal beat occurred in15cases;Sinus bradycardia with ST-T changes occurred in10cases,ab-normal excitation(including ventricular,supraventricular premature beat with tachycardia)occurred in6cases the cardiac function of9cases were checked up:stroke volume,cardiac indexand ejection timewere normal or on the low side.The colour Doppler showed that excrescence in tricuspid valve of3cases and the diagnosis was infectivity bacterial endocarditis.

窦性心动过缓或窦性心动过缓伴不齐、窦房传导阻滞、窦性停搏伴交界性异搏共18例;窦性心动过缓伴ST-T改变11例;兴奋性异常(室性、室上性早搏伴心动过速)6例。9例心功能检查:心输出量、心脏指数、射血分数三项指标在正常偏低水平。3例心脏彩超三尖瓣赘生物,诊断为感染性细菌性心内膜炎。

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