Danilenko A M, Rodionov V M, Zakharova R M
Kardiologiia. 1979 Jul;19(7):62-6.
The article analyses 188 cases treated for acute left ventricular insufficiency (ALVI) in different forms of tachyarrhythmia. It was established that in patients with supraventricular paroxysmal tachycardia ALVI develops when the rate of cardiac contractions is 180 +/- 3/min on the average, whereas in patients with cardiac fibrillation it develops when the rate of contractions is 163 +/- 4/min. For successful treatment of ALVI of a tachyarrhythmic character it is necessary to restore the sinus rhythm or slow down the rhythm of cardiac contractions in patients with supraventricular paroxysmal tachycardia to 113 +/- 5/min on the average and in patients with cardiac fibrillation to 118 +/- 2/min. Isoptin and obsidan produce the highest decelerating effect. In half of the patients with tachyarrhythmia. ALVI was relieved by means of antiarrhythmic agents among which obsidan and isoptin proved most effective.
本文分析了188例不同形式快速性心律失常所致急性左心室功能不全（ALVI）的病例。结果表明，在室上性阵发性心动过速患者中，当心脏收缩频率平均为180±3次/分钟时会发生ALVI，而在房颤患者中，当收缩频率为163±4次/分钟时会发生ALVI。为成功治疗快速性心律失常性ALVI，有必要恢复窦性心律，或将室上性阵发性心动过速患者的心脏收缩节律平均减慢至113±5次/分钟，将房颤患者的心脏收缩节律减慢至118±2次/分钟。异搏定和心得安产生的减速效果最为显著。在半数快速性心律失常患者中，抗心律失常药物缓解了ALVI，其中心得安和异搏定被证明最为有效。
