| 持续性心房颤动患者心脏电复律对血浆醛固酮水平的影响 |
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| 引用本文： | 于力,刘怀霖,袁义强,王瑞敏,孙运,刘祥朝.持续性心房颤动患者心脏电复律对血浆醛固酮水平的影响[J].临床心血管病杂志,2004,20(10):590-591. |
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| 作者姓名： | 于力 刘怀霖 袁义强 王瑞敏 孙运 刘祥朝 |
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| 作者单位： | 郑州市第七人民医院心内科,郑州市心血管病研究所,郑州市心血管病介入治疗中心,郑州,450006 |
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| 摘 要： | 目的 :探讨持续性心房颤动 (Af)患者电复律后对血浆醛固酮水平的影响。方法 :对患有持续性Af的 31例患者实施心脏直流电复律 ,分别于复律前 2h和复律后 4 8h测定血醛固酮及肾素水平。结果 :31例患者中的 2 9例 (94 % )成功转复为窦性心律 ,复律成功患者血醛固酮水平从 (346± 73) pmol/L显著下降到 (171± 36 )pmol/L(P <0 .0 5 ) ,且醛固酮 /肾素比值显著减小 (P <0 .0 5 )。结论 :持续性Af患者成功电复律后血醛固酮水平可明显降低。
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| 关 键 词： | 心房颤动 电抗休克 醛固酮 |
| 文章编号： | 1001-1439(2004)10-0590-02 |
| 修稿时间： | 2004年4月7日 |
Effect of successful electrical cardioversion on serum aldosterone in patiens with persistent atrial fibrillation |
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| YU Li,LIU Huailin,YUAN Yiqiang,WANG Ruimin,SUNG Yun,LIU Xiangzhao.Effect of successful electrical cardioversion on serum aldosterone in patiens with persistent atrial fibrillation[J].Journal of Clinical Cardiology,2004,20(10):590-591. |
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| Authors: | YU Li LIU Huailin YUAN Yiqiang WANG Ruimin SUNG Yun LIU Xiangzhao |
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| Abstract: | Objective: Effect of successful cardioversion on serum aldosterone levels in patients with persistent atrial fibrillation(Af). Method:Thirty-one patiens with chronic, persistent Af were included in shis study. All were scheduled for electrical cardioversion. Both aldosterone and renin levels were determined in 2 hours before cardioversion and 48 hours after electrical cardioversion. Result:Twenty-nine of 31 patiens(94%)were conrated to sinus rhythy after cardioversion .Aldosterone levels decreased significantly 48 hours after successful electrical cardioversion (P< 0.05).The aldosterone/renin index decreased significantly in these patiens (P< 0.05). Conclution:Restoration of sinus rhythm by electrical cardioversion lowers serum aldosterone in patiens with persistent AF. |
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| Keywords: | Atrial fibrillation Electric countershock Aldosterone |
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