Sidorova L D, Tereshchenko A V, Zherebiat'ev R A, Trufakin S V, Ukolova L A, Skvortsova S V
Ter Arkh. 1996;68(8):15-9.
Life expectancy and quality of sanatorium rehabilitation for patients with macrofocal myocardial lesions vary in line with severity of cardiac arrhythmia and left ventricular dysfunction. 24-h monitoring revealed defects in cardiac rhythm and conduction in 44.2% of cases. 42% and 36% of patients had ventricular extrasystole and high-grade Lown-Wolf ectopy, respectively. Supraventricular extrasystole occurred in 7.7%, combined extrasystole in 40% of cases. As to hemodynamics type, hypokinetic, hyperkinetic and eukinetic central hemodynamics were recorded in 63.0%, 5.2%, 31.8% of cases, respectively. Combinations of antiarrhythmic drugs (kilintin + obsidan, cordaron + disopiramide, cordaron + kinilentin, kinilentin + verapamil) were selected with consideration of the baseline type of central hemodynamics. Combined chemotherapy was more effective against different kinds of arrhythmia.
伴有大片状心肌损害患者的预期寿命及疗养院康复质量，会因心律失常的严重程度和左心室功能障碍而有所不同。24小时监测显示，44.2%的病例存在心律及传导方面的缺陷。分别有42%和36%的患者出现室性期前收缩和高级别洛恩-沃尔夫异位心律。室上性期前收缩发生率为7.7%，40%的病例出现联合性期前收缩。就血流动力学类型而言，低动力型、高动力型和正常动力型中心血流动力学分别在63.0%、5.2%和31.8%的病例中出现。根据中心血流动力学的基线类型，选择了抗心律失常药物组合（胺碘酮+乙胺碘呋酮、可达龙+双异丙吡胺、可达龙+胺碘酮、胺碘酮+维拉帕米）。联合化疗对不同类型的心律失常更有效。
