静脉应用胺碘酮治疗老年冠心病并房颤的临床观察

目的观察胺碘酮治疗老年冠心病并快速心房颤动的临床疗效。方法26例老年冠心病患者,发作时快速房颤后静脉推注胺碘酮治疗,首次3-5 mg/kg,5-10 mg/min注入,继之以微量泵维持,前6 h 1 mg/min,其后0.5 mg/min,观察24 h临床症状及心率、血压的变化情况。结果静脉应用胺碘酮后显效18例（69.2%）,有效23例（88.8%）,无严重不良反应。结论胺碘酮应用于老年冠心病并房颤患者有效率高,副反应少,尤其适用于老年患者的抢救。

Clinical observation of amiodarone in the elderly with coronary heart disease and atrial fibrillation

Objective To observe the effects of amiodarone in the elderly with coronary heart disease and atrial fibrillation. Methods Twenty - six patients received amiodarone at a dosage of 3 - 5 mg/kg iv in 5 - 10 min, followed by continuous pumping 1 mg/min for the first 6 hours and 0.5 mg/min after. The clinic symptom, BP and HR were observed within 24 h. Results The efficiency rate was 88.8% within 24 h. There was no severe adverse effect. Conclusion The use of amiodarone is effective and safe on the elderly with coronary heart disease and atrial fibrillation, especially can be used to save these patients.