心律失常致心源性晕厥和阿斯综合征临床分析

目的探讨心律失常致心源性晕厥和阿斯综合征的诊治特点。方法对69例临床资料进行回顾性分析。结果69例发作时缓慢性心律失常占53.62%,快速性心律失常占46.38%;植入永久性心脏起搏器10例,药物复律24例、直流电复律12例。结论缓慢性和快速性心律失常均为其发作时主要心律失常类型;前者治疗主要是植入永久性心脏起搏器,后者治疗主要是及时复律,终止发作。

Clinical analysis of arrhythmogenic cardiac syncope and Adams - Stokes syndrome

Objective To explore the clinical characteristics, diagnosis and treatment of arrhythmogenic cardiac syncope and Adams -Stokes syndrome. Methods 69 cases were analyzed retrospectively. Results Patients with bradyarrhythmia were 53.62%, and patients with tachyarrhythmia were 46.38%. Permanent cardiac pacemakes were implanted in 10 patients. Drug convertion was used in 24 paticnts. Dircct current cardioverter was applied in 12 patients. Conclusion Bradyarrhythmias and tachyarrhythmias are all the main types of arrhythmia cepisodes. The treatment of the former is mainly the implantaion of permanent cardiac pacemakes. Otherwise, the treatment of the later is cardiac diversion immediately and termination of acute onsets.