心肌梗死后的晚期室性心律失常。
Late ventricular dysrhythmias after myocardial infarction.
作者信息
Spracklen F H, Besterman E M, Everest M S, Litchfield J W, Petrie M
出版信息
Br Med J. 1968 Nov 9;4(5627):364-6. doi: 10.1136/bmj.4.5627.364.
Abstract
Serious ventricular dysrhythmias occurred in hospital after discharge from a coronary intensive care unit in 11 out of 142 patients with myocardial infarction. Previous rhythm changes, hypotension, and left ventricular failure were common findings; only one of these patients had an uneventful previous course. Four patients were resuscitated and left hospital; six were resuscitated but died at varying periods up to eight days after the event; one patient could not be resuscitated. Recent coronary occlusion or further myocardial infarction was demonstrated in 7 of these 11 patients and presumably accounted for the dysrhythmia.
摘要
在142例心肌梗死患者从冠心病重症监护病房出院后，有11例在医院发生了严重的室性心律失常。既往有节律改变、低血压和左心室衰竭是常见表现；这些患者中只有1例之前病情平稳。4例患者经复苏后出院；6例经复苏但在事件发生后长达8天的不同时间段死亡；1例患者未能复苏成功。这11例患者中有7例证实近期有冠状动脉闭塞或再次发生心肌梗死，推测这是导致心律失常的原因。
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