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胺碘酮治疗急性心肌梗死并心房颤动的疗效观察
引用本文:王鹏武. 胺碘酮治疗急性心肌梗死并心房颤动的疗效观察[J]. 中国现代医药杂志, 2007, 9(2): 61-62
作者姓名:王鹏武
作者单位:518108,广东省深圳市宝安区石岩人民医院
摘    要:目的观察静脉应用胺碘酮治疗急性心肌梗死(AMI)并心房颤动(AF)的疗效及安全性。方法对28例AMI并AF患者,先用胺碘酮静脉注射负荷量后,继以静脉滴注维持。结果AF转复率2h内为39.3%(11/28),24h内为64.3%(18/28),48h内为85.7%(24/28),72h内为92.9%(26/28)。用药24h后心率明显下降,与治疗前比较有显著性差异(P<0.01)。用药前后血压变化不明显(P>0.05)。结论静脉应用胺碘酮治疗AMI并AF是安全有效的。

关 键 词:急性心肌梗死  胺碘酮  心房颤动
文章编号:24080644
修稿时间:2006-12-12

Effect observation of amiodarone treating acute myocardial infarction with atrial fibrillation
Wang Pengwu. Effect observation of amiodarone treating acute myocardial infarction with atrial fibrillation[J]. Modern Medicine Journal of China, 2007, 9(2): 61-62
Authors:Wang Pengwu
Abstract:Objective To investigate the efficacy and safety of amiodarone in treatment of acute myocardial infarction (AMI) with atrial fibrillation(AF). Methods Twenty-eight AMI cases with AF were observed. After a load dose, intravous amiodarone administered continuously. Results AF was reverted to sinus rhythm within 2 hours in 11 of 28 cases(39.3%), within 24 hours in 18 of 28 cases(64.3%), within 48 hours in 24 of 28 cases(85.7%), within 72 hours in 26 of 28 cases(92.9%). The heart rate after treatment for 24 hours was significantly lowered than that of before treatment(P<0.01). The BP had no significant change before and after treatment(P>0.05). Conclusion It is effective and safe that intravenous amiodarone in treatment of AMI with AF.
Keywords:Acute myocardial infarction Amiodarone Atrial fibrillation
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