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[并行心律性心律失常]

[Parasystolic arrhythmias].

作者信息

Doshchitsin V L, Gendlin G E

出版信息

Kardiologiia. 1977 Apr;17(4):54-60.

PMID:69741
Abstract

The observation was conducted in 24 patients with parasystolic arrhythmias, 13 of them having parasystolic extrasystoles, and 11--paroxysmal and non-paroxysmal parasystolic tachycardia. Ventricular parasystole was found in 21 patients, atrial--in 3, atrioventricular--in 2; three patients had double parasystole with two ectopic centers. In the majority of patients their parasystole took a persistent, but relatively benign course, however one patient with ventricular parasystolic tachycardia persisting for many years had repeated ventricular fibrillations. For the treatment of supraventricular parasystolic arrhythmias beta-adrenergic receptors blocking agents, Isoptine, cardiac glycosides were used; in ventricular parasystole the more effective drugs are Lidocain, Novocainamid, Ajmalin.

摘要

对24例并行心律患者进行了观察,其中13例有并行性期前收缩,11例有阵发性和非阵发性并行性心动过速。发现21例患者有室性并行心律,3例有房性并行心律,2例有房室交界性并行心律;3例患者有两个异位中心的双重并行心律。大多数患者的并行心律呈持续性,但病程相对良性,然而,1例患有室性并行性心动过速多年的患者发生了多次心室颤动。对于室上性并行心律的治疗,使用了β-肾上腺素能受体阻滞剂、异搏定、强心苷;对于室性并行心律,更有效的药物是利多卡因、普鲁卡因胺、阿马林。

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