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反复发作性持续性室性心动过速,治疗较困难而顽固,Bigeer称为恶性的亦即致命性的室性心律失常,90％由冠心病和心肌病所致,其中约75％为冠心病,其临床意义在于:(1)电不稳定性、可恶化为心室颤动:(2)易致血液动力学障碍;(3)可致心肌缺血加重,使电不稳定性及血液动力学障碍进一步恶化。Ruskin认为:此类心律失常一年内病死率为70～80％。近年来,我们应用中西医结合治疗6例反复发作性持续性心动过速,均转复为窦性心律。现将典型病例及其体会介绍如下。一、发生于冠心病和急性心肌梗塞(AMI)者冯某,男,62岁,冠心病,Ⅲ°A—VB,反复发作阿一斯综合征,1984年3月在我院
Recurrent persistent ventricular tachycardia, treatment more difficult and stubborn, Bigeer known as malignant or fatal ventricular arrhythmias, 90% by the coronary heart disease and cardiomyopathy, of which about 75% of coronary heart disease , Its clinical significance is that: (1) electrical instability can worsen ventricular fibrillation: (2) prone to cause hemodynamic disorders; (3) can cause increased myocardial ischemia, so that electrical instability and hemodynamic disorders Further deterioration. Ruskin believes that: this type of arrhythmia within one year mortality rate of 70 to 80%. In recent years, we applied Integrative Medicine treatment of 6 cases of recurrent persistent tachycardia, were converted to sinus rhythm. Now the typical cases and their experiences are described below. First, occurred in patients with coronary heart disease and acute myocardial infarction (AMI) Fengmou, male, 62 years old, coronary heart disease, Ⅲ ° A-VB, repeated episodes of Als Syndrome, March 1984 in our hospital