Ungureanu G, Cosovanu A, Hurmuzache M E
Clinica a III-a medicală, Institutul de Medicină şi Farmacie Iaşi.
Rev Med Chir Soc Med Nat Iasi. 1990 Jan-Mar;94(1):57-66.
In 60 cases of atrial fibrillation and flutter the systolic time intervals, haemodynamic ratios (PEj/PPE, PPE/PEj and PEj/TCIV) and ejection fraction before and after cardioversion in sinus rhythm were determined. The cardiac performance was markedly improved in all cases regardless the etiology and the degree of ventricular efficiency, pleading for the use of cardioversion anytime there is a chance to restore and maintain the sinus rhythm. The persistence of anticreased venous pressure, as well as the absence or late resumption of atrial mechanic activity usually indicate that arrhythmia soon recurs. In atrial fibrillation and atrial flutter, the inclusion in calculation only of those systoles preceded by R-R higher than 800 ms permits a better estimation of the degree of cardiac performance deterioration consecutive to the existing cardiopathy, the obtained data being very close to the postconversion values.
在60例心房颤动和心房扑动患者中，测定了复律为窦性心律前后的收缩期时间间期、血流动力学比值（PEj/PPE、PPE/PEj和PEj/TCIV）及射血分数。无论病因及心室功能程度如何，所有病例的心脏功能均有显著改善，这表明只要有机会恢复并维持窦性心律，就应进行复律。静脉压持续升高以及心房机械活动缺失或恢复延迟通常提示心律失常很快复发。在心房颤动和心房扑动中，仅计算R-R间期大于800毫秒之前的那些收缩期，可更好地评估现有心脏病导致的心脏功能恶化程度，所得数据与复律后的值非常接近。
