| 老年心房颤动患者胺碘酮药物复律后窦房结功能与甲状腺素关系的临床观察 |
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| 引用本文： | 徐伟.老年心房颤动患者胺碘酮药物复律后窦房结功能与甲状腺素关系的临床观察[J].中国药房,2012(44):4172-4173. |
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| 作者姓名： | 徐伟 |
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| 作者单位： | 邢台医学高等专科学校第二附属医院心内科 |
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| 摘 要： | 目的：观察老年心房颤动患者服用胺碘酮转复后窦房结功能与体内甲状腺素水平的关系,探讨心房颤动心电活动的影响因素。方法：通过制定临床研究观察表观察68例老年心房颤动患者,均常规给予胺碘酮转复心房颤动,根据转为窦性心律最初1min内的心率数值分为3组,分别检测患者入院时和转窦即刻血清甲状腺素水平,对数据进行统计、分析。结果：甲状腺素水平随着心室率的增加而升高,呈显著正相关（P〈0.05）,并且转复后心室率越慢的患者转复前后甲状腺素水平变化越显著。结论：甲状腺素是心房颤动电信号不稳定因素,应引起临床医师的重视。
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| 关 键 词： | 心房颤动 胺碘酮 转复 窦房结 甲状腺素 |
Relationship between Sinoatrial Node and Thyroid Hormone in Elderly Patients with Atrial Fibrillation Treated by Amiodarone Cardioversion |
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| XU Wei.Relationship between Sinoatrial Node and Thyroid Hormone in Elderly Patients with Atrial Fibrillation Treated by Amiodarone Cardioversion[J].China Pharmacy,2012(44):4172-4173. |
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| Authors: | XU Wei |
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| Institution: | XU Wei(Dept.of Cardiology,The Second Affiliated Hospital of Xingtai Medical Collage,Hebei Xingtai 054000,China) |
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| Abstract: | OBJECTIVE：To study the relationship between sinoatrial node and thyroid hormone in elderly patients with atrial fibrillation treated by amiodarone cardioversion,and to investigate the influential factors of atrial fibrillation and electrocardiogram.METHODS：Clinical research scale was designed to observe clinical cases.A total of 68 cases were collected and given amiodarone to recover atrial fibrillation.They were divided into 3 groups by a minute＇s heart rate.Serum thyroid hormones levels were measured at admission and at the moment of conversion,and the data was analyzed.RESULTS：The serum thyroid hormones levels were significantly increased with the heart rate,in positive correlation（P0.05）,and the change of thyroid hormone level was significant in lower heart rate group.CONCLUSION：Thyroid hormone is an unstable factor of atrial fibrillation,and the doctor should pay attention to it. |
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| Keywords: | Atrial fibrillation Amiodarone Cardioversion Sinoatrial node Thyroid hormone |
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