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室性心律失常是急性心肌梗塞(AMI)常见的致命性心律失常。由于可以发展为心室颤动(简称室颤),故一直被认为是决定AMI顶后的因素之一。本文对我院收治的急性下壁心肌梗塞和急性前壁心肌梗塞并发室性心律失常的病例进行了分析。病例系1986年1月～1991年3月收治的AMI62例,发病时间为24±8小时(占同期收治的AMI病人81例中的76.5％)。均符合WHO诊断标准,其中男38例,女24例,年龄41～87(平均60±2)岁。根据临床ECG表现分为:单纯下壁心肌梗塞组(30例);单纯前壁心肌梗塞组(28例);下壁合并前壁心肌梗塞组(4例)。全体病例在CCU中连续监测(第1周内24小时连续监测,第2～4周监测4～8小
Ventricular arrhythmias are common fatal arrhythmias in acute myocardial infarction (AMI). As can be developed as ventricular fibrillation (referred to as ventricular fibrillation), it has been considered to determine the top of the AMI one of the factors. This article analyzes the cases of acute inferior myocardial infarction and acute anterior myocardial infarction with ventricular arrhythmia admitted to our hospital. The cases were from January 1986 to March 1991 were treated AMI62 cases, the onset time was 24 ± 8 hours (accounting for the same period treated AMI patients in 81 cases of 76.5%). All were in line with the WHO diagnostic criteria, including 38 males and 24 females, aged 41-87 (mean 60 ± 2) years. According to the clinical ECG manifestations were divided into: simple inferior myocardial infarction group (30 cases); simple anterior myocardial infarction group (28 cases); inferior wall merge anterior myocardial infarction group (4 cases). All cases were continuously monitored in the CCU (24 hours continuous monitoring in week 1, 4 to 8 hours in weeks 2 to 4