【摘要】 对41例急性心肌梗塞(AMI)患者行溶栓治疗并行24小时动态心电图(Holter)监测,观察冠脉再灌注后发生心律失常的特点。冠脉再灌注组与未灌注组比较,前者心律失常明显增多,再灌注后8小时内出现心律失常最为频繁。室早发生率100％,室性自搏心律(AIVR)次之,19例出现短暂室性心动过速,本组无1例出现室颤。仅有4例出现缓慢心律失常。认为心律失常呈良性过程,个别病例需引起注意给予治疗。更多还原

【Abstract】 Forty-one cases with AMI who were treated with thrombolytic therapy had reper-fucion arrhythmias. The reperfusion rate was 53.65% (22/41). The incidence of rcperfusion arrhythmias was 100%. It occurred in 8 hours after thrombolytic therapy. Most of the cases were ventricular premature beat and accelerated idioventricular rhythm (AIVR), 19 cases had transient ventricular tachycardia. Brady arrhythmia occurred in 4 patients. We should pay attention to the severe cases and give them appropriate treatment.更多还原