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急性心肌梗死后的心律失常。

Arrhythmias After Acute Myocardial Infarction.

机构信息

Section of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT, USA.

Department of Cardiovascular Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.

出版信息

Yale J Biol Med. 2023 Mar 31;96(1):83-94. doi: 10.59249/LSWK8578. eCollection 2023 Mar.

Abstract

The incidence of arrhythmia after myocardial infarction has declined since the introduction of reperfusion techniques. Nevertheless, ischemic arrhythmias are often associated with increased morbidity and mortality particularly in the first 48 hours after hospital admission. This paper presents a comprehensive review of the epidemiology, characteristics, and management of ischemic tachy- and brady-arrhythmias focusing on the period shortly after myocardial infarction (MI) in patients with both ST-segment elevation myocardial infarction (STEMI) and non-ST-segment elevation myocardial infarction (NSTEMI).

摘要

自再灌注技术问世以来,心肌梗死后心律失常的发生率有所下降。然而,缺血性心律失常通常与发病率和死亡率增加有关,尤其是在入院后 48 小时内。本文全面回顾了缺血性心动过速和心动过缓性心律失常的流行病学、特征和治疗,重点关注 ST 段抬高型心肌梗死(STEMI)和非 ST 段抬高型心肌梗死(NSTEMI)患者心肌梗死后不久的时期。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfba/10052595/5e595dc7fef3/yjbm_96_1_83_g01.jpg

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