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心脏病

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心肌梗死相关性的室性心律失常
原作者: Semhar Tewelde,葛赟 译 文章来源: 《中华急诊医学杂志》编辑部 发布日期:2014-09-26

 Title: Ventricular Arrhythmias Associated with Myocardial Infarction
题目:心肌梗死相关性的室性心律失常
Author 作者: Semhar Tewelde
翻译:葛赟 校正:肖锋

Therapeutic advances and management of acute myocardial infarction (AMI) has lead to a decreasing incidence of ventricular arrhythmias (VA)
急性心肌梗死治疗的进展,使室性心律失常(VA)的发生频率明显减少。
VA remains a life-threatening occurrence after AMI, and all patients should be monitored closely during this vulnerable period
室性心律失常仍然是急性心肌梗死后危及生命的并发症,所有患者在这一危险期都应严密监测。
VA occurs more frequently inpatients with STEMI versus non-STEMI. Of those who develop VA’s, features associated with poor outcomes include:

与非ST段抬高型心梗相比,ST段抬高型心梗后的室性心律失常出现更为频繁,与恶性预后相关的因素有:
·      Late occurrence
出现晚
·      Sustained monomorphic VT
持续单型室性心动过速
·      Concurrent heart failure
合并心力衰竭

·      Cardiogenic shock
心源性休克
·      Failure or lack of revascularization
血运重建失败或没用进行重建
References 参考文献:
Liang J, Prasad A, et al. Temporal Evolution and Implications of Ventricular Arrhythmias Associated With Acute Myocardial Infarction. Cardiology in Review: 21 (6) Nov/Dec 2013. 

文章来源:《中华急诊医学杂志》编辑部