Steffen V, Fiehring H, Kulick B, Schaedel H
Z Gesamte Inn Med. 1975 Oct 1;30(19):193-4 concl.
The frequency of the electric heart death in the early phase of the acute myocardial infarction demands a prophylactic use of antiarrhythmic remedies. In a guarded ward for coronary diseases since 1972 all patients with a fresh myocardial infarction or suspicion of infarction were treated with a continuous intravenous lidocain drip in a dosage of 100 mg/per hour for 48 hours. In 266 patients in a certain examination period ventricular fibrillation was observed only once and ventricular tachycardias twice. In accordance with literary data the prophylatic medication of lidocain gives an effective defence against threatening disturbances of the ventricular rhythm. The indications for a passagere electrostimulation in bradycardiac disturbances of rhythm associated with acute myocardial infarction are demonstrated.
急性心肌梗死早期心脏电死亡的发生率要求预防性使用抗心律失常药物。自1972年起，在冠心病监护病房，所有新发心肌梗死或疑似梗死的患者均接受持续静脉滴注利多卡因治疗，剂量为每小时100毫克，持续48小时。在某一检查期间的266例患者中，仅观察到1次心室颤动，2次室性心动过速。根据文献资料，利多卡因的预防性用药可有效预防威胁生命的心室节律紊乱。文中还阐述了急性心肌梗死伴缓慢性心律失常时进行临时电刺激的适应证。
