Shul'man V A, Kostiuk F F, Nazarov B V, Gankin I M
Kardiologiia. 1975 Nov;15(11):115-9.
Auricular fibrillation was observed in 17.8% of patients with large-focal myocardial infarction, mainly in females (p 0.01). The localization of myocardial infarction had no impact on the incidence of auricular fibrillation. The precursors of auricular fibrillation included atrial extrasystoli and an elevated electrolyte coefficient of the blood NaeKe. In the group of patients with myocardial infarction and auricular fibrillation mortality was more common among the females. Auricular fibrillation developing beyond the first postinfarction day worsened the prognosis considerably. The outcome of myocardial infarction did not much depend on the duration of auricular fibrillation and on the cardiac contraction frequency.
在大面积局灶性心肌梗死患者中,17.8%观察到心房颤动,主要发生在女性患者中(p<0.01)。心肌梗死的部位对心房颤动的发生率没有影响。心房颤动的先兆包括房性期前收缩和血液中钠钾电解质系数升高。在心肌梗死合并心房颤动的患者组中,女性的死亡率更高。心肌梗死后第一天以后发生的心房颤动会使预后明显恶化。心肌梗死的预后在很大程度上并不取决于心房颤动的持续时间和心脏收缩频率。