Aufderheide T P
Department of Emergency Medicine, Medical College of Wisconsin, Milwaukee, USA.
Emerg Med Clin North Am. 1998 Aug;16(3):583-600, viii. doi: 10.1016/s0733-8627(05)70019-5.
Ninety percent of patients with acute myocardial infarction have some cardiac rhythm abnormality, and approximately twenty-five percent have cardiac conduction disturbance within 24 hours following infarct onset. Almost any rhythm disturbance can be associated with acute myocardial infarction, including bradyarrhythmias, supraventricular tachyarrhythmias, ventricular arrhythmias, and atrioventricular block. With the advent of thrombolytic therapy, it was found that some rhythm disturbances in patients with acute myocardial infarction may be related to successful coronary artery reperfusion. This article addresses the role and treatment of arrhythmias and conduction disturbances that complicate the course of patients with acute infarction and thrombolysis.
90%的急性心肌梗死患者会出现某种心律失常，约25%的患者在梗死发作后24小时内会出现心脏传导障碍。几乎任何心律失常都可能与急性心肌梗死有关，包括缓慢性心律失常、室上性快速性心律失常、室性心律失常和房室传导阻滞。随着溶栓治疗的出现，发现急性心肌梗死患者的一些心律失常可能与冠状动脉再灌注成功有关。本文探讨了并发于急性梗死和溶栓患者病程中的心律失常和传导障碍的作用及治疗。
