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予激综合征患者若合并心房纤颤有一定危险性。如心肌的反拗期缩短则予激综合征的异常短路通道可使房室结传导冲动速度明显加快,室性心率如过速可危及患者生命。因此治疗这种情况的心房纤颤时,毛地黄因有缩短心肌反拗期的作用,易引起室性心动过速的危险,而其它药物如β受体阻滞剂不仅无效,有时还是禁忌,故临床治疗困难。本文报道用乙胺碘呋酮治疗获得满意效果并观察近4年未复发的首例: 病例报告:75岁男性患者,临床有严重的充血性心力衰竭,明显紫绀,心率180次/分,不规则。X线检查心脏扩大,有肺水肿,心电图检查为快速型心房纤
Patients with preeclampsia may have some risk of having atrial fibrillation. Such as shortening of the anti-stubborn myocardium, the abnormal short-circuit stimulation of the syndrome can make atrioventricular node conduction impulse significantly faster ventricular heart rate such as over-speed can endanger the lives of patients. Therefore, the treatment of atrial fibrillation in this situation, because of shortening the role of hair follicles due to myocardial reversion, easy to cause the risk of ventricular tachycardia, and other drugs such as β-blockers not only ineffective, and sometimes taboo, Therefore, clinical treatment is difficult. This article reports the use of amiodarone treatment to obtain satisfactory results and observe the first 4 years without recurrence: Case Report: 75-year-old male patients with clinically severe congestive heart failure, cyanosis was obvious, heart rate 180 beats / min, not rule. X-ray examination of the heart enlargement, pulmonary edema, ECG fast atrial fibrillation