Konstantinov B A, Gromova G V, Alekseeva L A, Liudinovskova R A, Kulagina T I
Kardiologiia. 1983 Feb;23(2):77-81.
Of 372 patients operated on for rheumatic valvular defects under extracorporeal circulation, 221 patients had chronic atrial fibrillation. In 41 patients, the duration of arrhythmia ranged from a few months to 2 years. Sinus rhythm was recovered in 22 patients, using quinidine and electric-impulse treatment, and 19 patients have maintained it continuously for many years. Factors contributing to stable and lasting sinus rhythm are an adequate correction of the defect, inactive rheumatic process, and the duration of atrial fibrillation not exceeding 1-2 years. The optimum time for sinus rhythm recovery is 2-6 months after surgery. Sinus rhythm recovery prior to surgical correction of the defect is not recommended.
在372例接受体外循环下风湿性瓣膜缺损手术的患者中，221例患有慢性心房颤动。在41例患者中，心律失常持续时间从几个月到2年不等。使用奎尼丁和电脉冲治疗后，22例患者恢复了窦性心律，19例患者已持续维持多年。有助于窦性心律稳定持久的因素包括缺损的充分矫正、风湿过程不活跃以及心房颤动持续时间不超过1 - 2年。恢复窦性心律的最佳时间是术后2 - 6个月。不建议在手术矫正缺损之前恢复窦性心律。
