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[使用第I类和第III类抗心律失常制剂治疗顽固性心律失常患者的经验]

[Experience in using anti-arrhythmia preparations of groups I and III in patients with arrhythmia resistant to therapy].

作者信息

Abdalla A, Mazur N A

出版信息

Kardiologiia. 1988 Mar;28(3):51-4.

PMID:2454343
Abstract

The efficiency of a number of antiarrhythmic drugs (etmozin, quinidine, mexytil, allapinin, cordarone), used alone and in combinations, was assessed in 13 patients with refractory continuous extrasystoles of varying origins. Antiarrhythmic effect of the drugs was evaluated by means of Holter ECG monitoring. Monotherapies were only effective in 3 patients, and developing side effects limited the possibilities of long-term use. Combined treatment produced a greater effect, while smaller doses of individual drugs making up the combination resulted in a better tolerance due to reduced side effects.

摘要

对13例患有不同起源的顽固性持续性早搏的患者,评估了多种单独使用及联合使用的抗心律失常药物(乙吗噻嗪、奎尼丁、美西律、阿拉平宁、胺碘酮)的疗效。通过动态心电图监测评估药物的抗心律失常效果。单一疗法仅对3例患者有效,且出现的副作用限制了长期使用的可能性。联合治疗产生了更大的效果,而组成联合用药的各药物剂量较小,由于副作用减少,耐受性更好。

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