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| 胺碘酮治疗急性心肌梗死并心房颤动的疗效 | |
| 引用本文： | 陈炅,索冬卫,傅华平. 胺碘酮治疗急性心肌梗死并心房颤动的疗效[J]. 临床心血管病杂志, 2008, 24(2): 127-128 |
| 作者姓名： | 陈炅 索冬卫 傅华平 |
| 作者单位： | 郑州大学第五附属医院急诊科,郑州,450052;郑州大学第五附属医院急诊科,郑州,450052;郑州大学第五附属医院急诊科,郑州,450052 |
| 摘 要： | 目的:观察胺碘酮治疗急性心肌梗死(AMI)并心房颤动(房颤)的临床疗效及安全性.方法:对34例AMI并房颤患者首剂静脉注射胺碘酮150 mg,随后以0.5～1.5 mg/min维持静脉滴注.静脉用药2～7(3.24±1.7)d.结果:房颤转复率2 h内为47.1%(16/34),24 h内为70.6%(24/34),48 h内为85.3%(29/34),72h内为91.2%(31/34).治疗期间,5例(14.7%)出现窦性心动过缓,减量后心率恢复4例(11.8%);4例(11.8%)出现血压降低,用多巴胺后血压上升至正常.结论:静脉注射胺碘酮对AMI并房颤疗效明显,未见严重不良反应. |
| 关 键 词： | 胺碘酮 心肌梗死 心房颤动 |
| 文章编号： | 1001-1439(2008)02-0127-02 |
| 修稿时间： | 2007-09-13 |
Effect of amiodarone for atrial fibrillation in patients with acute myocardial infarction |
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| CHEN Jiong,SUO Dongwei,FU Huaping. Effect of amiodarone for atrial fibrillation in patients with acute myocardial infarction[J]. Journal of Clinical Cardiology, 2008, 24(2): 127-128 | |
| Authors: | CHEN Jiong SUO Dongwei FU Huaping |
| Abstract: | Objective:To evaluate the efficacy and safety of intravenous amiodarone for atrial fibrillation with acute myocardial infarction.Method:Thirty-four patients with acute myocardial infarction and atrial fibrillation were treated with amiodarone.The first bolus of amiodarone was given at 150 mg intravenous followed by 0.5-1 mg/min in fusion.The effect was defined as returning to sinus rhythm in 24 hour.Result:Sixteen patients were revevted to sinus rhythm(47.1%)within 2 hour,24 patients were reverted to sinus rhythm(70.6%)within 24 hour,29 patients were revevted to sinus rhythm(85.3%),within 48 hour.side effects were observed in 5 patients(14.7%).Conclusion:Amiodarone is effective and safe for treatment of atrial fibrillation with acute myocardial infarction. |
| Keywords: | Amiodarone Myocardial infarction Atrial fibrillation |
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