论文部分内容阅读
考虑到复杂室性异位搏幼致心源性猝死的高度危险性和预后的重要意义,作者对心肌梗塞后持续存在无症状的复杂室性心律失常的患者进行了预防性抗心律失常治疗效果的前瞻性研究,其终点为总死亡率与心律失常事件(猝死,持续性室速和室颤)。在连续性筛选的1220例心肌梗塞存活者中,312例患者出院前24小时动态心电图记录发现有Lown分级3或4b级室性心律失常。这些病人被随机分配为三组,第一组(100例)接受个体化抗心律失常治疗;第二组(98例)用小剂量乙胺碘呋酮(200mg/日)治疗;第三组为对照组(114
Considering the significance of the high risk of sudden cardiac death and prognosis in patients with complex ventricular ectopic beats, we conducted a preventive antiarrhythmic treatment in patients with persistent asymptomatic complex ventricular arrhythmias after myocardial infarction The prospective study, the end point for total mortality and arrhythmia events (sudden death, sustained ventricular tachycardia and ventricular fibrillation). Of the 1220 survivors of myocardial infarction that were screened consecutively, 312 patients had Lown-grade 3 or 4b ventricular arrhythmias recorded at 24 hours prior to discharge. The patients were randomized into three groups, the first group (100 patients) receiving individualized antiarrhythmic therapy; the second group (98 patients) being treated with a low-dose amiodarone (200 mg / day); the third group Control group (114