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虽然电生理学研究已证实有些旁路房室传导患者可记录到房颤与阵发性室上性心动过速(PSVT),但还未见有PSVT患者接受常规抗心律失常药治疗而发生房颤的报道。本文报道对随访时间长达4年的一组PSVT患者发生房颤的观察。方法:39例PVST,其中5例心电图证实为预激,12例有基础心肺疾病。患者在随访期症状发作时,经电话传送心电图与医生证实症状发作时的心律。测定了从随访期开始至首次发生特异性心动过速的“无心动过速期”,对房颤的定量也是测定从进入随访系统至首次房颤发作的“无心动过速期”。
Although electrophysiological studies have demonstrated that some patients with atrioventricular atrophy can record atrial fibrillation and paroxysmal supraventricular tachycardia (PSVT), there is no evidence of atrial fibrillation in patients with PSVT receiving conventional antiarrhythmic drugs Report. This article reports the observation of atrial fibrillation in a cohort of PSVT patients up to 4 years of follow-up. Methods: 39 cases of PVST, of which 5 cases confirmed by pre-excitation ECG, 12 cases of basic cardiopulmonary disease. During the follow-up period when the patient developed an episode of symptoms, the cardiogram was transmitted over the phone and the doctor confirmed the cardiac rhythm at the onset of symptoms. The “no tachycardia” period from the start of the follow-up period to the first occurrence of a specific tachycardia was measured, and the quantification of atrial fibrillation was also taken from “no cardiac tachycardia” from entry to the first episode of atrial fibrillation.