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目的观察胺碘酮治疗充血性心力衰竭并发室性心律失常的疗效。方法对60例充血性心力衰竭并发室性心律失常患者,在予利尿、血管紧张素转移酶抑制剂或血管紧张素受体拮抗剂及强心的基础上,应用胺碘酮治疗。结果其中41例频发室性早搏患者,有34例早搏明显减少,有效率达83%,19例阵发性室性心动过速有15例终止,2例发作次数减少。结论胺碘酮治疗充血性心力衰竭并发室性心律失常有效,严密观察下副作用少,可作为临床首选。
Objective To observe the efficacy of amiodarone in the treatment of congestive heart failure complicated with ventricular arrhythmia. Methods Sixty patients with congestive heart failure complicated by ventricular arrhythmias were treated with amiodarone on the basis of diuretic, angiotensin-converting enzyme inhibitor or angiotensin receptor blocker and cardia. Results Of the 41 patients with frequent premature ventricular contractions, 34 cases of premature beats significantly reduced, the effective rate was 83%, 19 cases of paroxysmal ventricular tachycardia termination of 15 cases, 2 cases of seizures decreased. Conclusions Amiodarone is effective in treating congestive heart failure complicated with ventricular arrhythmia. It has less side effects under close observation and may be the first choice of clinical practice.