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非器质性心脏病频发室性期前收缩的治疗策略

Management for Frequent Ventricular Extrasystole in Patients with Non-organic Heart Diseases

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【作者】 罗小岚赵水平赵延恕

【Author】 LUO Xiao-lan,ZHAO Shui-ping,ZHAO Yan-shu.Department of Cardiology,the Second Xiangya Hospital of Central South University,Changsha 410011,China

【机构】 中南大学湘雅二医院心内科

【摘要】 目的探讨非器质性心脏病频发室性期前收缩的治疗策略。方法选取50例非器质性心脏病频发室性期前收缩患者,为其制定治疗方案,并随访5年,观察其症状和治疗情况。结果随访5年后24h室性期前收缩总数与5年前比较,差异无统计学意义(P>0.05),但大部分患者无症状,均能正常工作和生活,无死亡发生。结论非器质性心脏病频发室性期前收缩治疗应以解释病情和安慰为主,无需长期抗心律失常药物治疗,但必须进行仔细的检查以排除器质性心脏病的可能。

【Abstract】 Objective To explore the treatment strategy for frequent ventricular extrasystole in patients with non-organic heart diseases.Methods Totally 50 patients with frequent ventricular extrasystole of non-organic heart diseases were recruited.The treatment schemes for them were respectively set up and conducted,and a 5-year follow-up was conducted to observe the conditions.Results The 5-year follow-up showed that the number of 24-hour ventricular extrasystole is of no significant difference from that 5 years ago(P>0.05).However the majority of the patients were symptomless,they lived and worked normally,and no dead case was found.Conclusion The management for ventricular extrasystole in patients with non-organic heart diseases should be based on explanation and psychological alleviating rather than the anti-arrthymia drugs.However the organic heart diseases should be excluded.

【关键词】 室性期前收缩治疗
【Key words】 Premature ventricular beatsTreatment
  • 【文献出处】 中国全科医学 ,Chinese General Practice , 编辑部邮箱 ,2009年05期
  • 【分类号】R541.7
  • 【被引频次】15
  • 【下载频次】195
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