Tsenov I, Popnikolov S, Shakhov B, Donova T
Vutr Boles. 1980;19(2):22-8.
Certain rhythm and conduction disorders in 252 patients with myocardial infarction were studied. Twenty one of them had auricular fibrillation, influenced by medicaments, with the exception of one, six had relapses and 4 of the patients died. Ventricular extrasystoles (frequent, polytopic, more than three one after the other, R of T) were found in 48 patients. Regardless of the reported good result from the treatment of ventricular extrasystoles, ventricular tachycardia originated in 10 and ventricular fibrillation--in 9 patients. Ventricular fibrillation (a total of 29 patients) was more frequent in patients with cardiac insufficiency (25%) as compared with those (6.1%). With the combination of cardiac insufficiency and ventricular extrasystole, a very high risk group is formed--every third patient develops ventricular fibrillation. Four patient out of 22 patients, were discharged with timely initiated treatment of the ventricular fibrillation. Complete atrioventricular block was recorded in 12 of the patients with a lethality of 50%. Conclusions are drawn as regards the duration of prophylaxis and treatment of rhythm and conduction disorders and in-patient days of the patients in the intensive care unit.
对252例心肌梗死患者的某些节律和传导障碍进行了研究。其中21例发生药物性心房颤动，除1例外，6例复发，4例死亡。48例患者出现室性期前收缩（频发、多源性、连续3个以上、R波落在T波上）。尽管报道室性期前收缩治疗效果良好，但仍有10例发生室性心动过速，9例发生心室颤动。与无心脏功能不全者（6.1%）相比，心脏功能不全患者中发生心室颤动（共29例）更为常见（25%）。心脏功能不全合并室性期前收缩时，会形成一个高危组——每3例患者中就有1例发生心室颤动。22例患者中有4例因及时治疗心室颤动而出院。12例患者出现完全性房室传导阻滞，病死率为50%。得出了关于节律和传导障碍的预防和治疗持续时间以及患者在重症监护病房住院天数的结论。
