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风心病瓣膜病变并慢性房颤(Af)为临床最常见的心律失常之一,瓣膜置换术电复律后窦性心律的维持,仍为目前临床研究的热点。本研究旨在分析小剂量胺碘酮与普罗帕酮对电复律转复后维持窦性心律的疗效。 1 资料和方法 选择上海长海医院1993年1月至1997年1月风心病慢性Af伴二尖瓣病变或合并主动脉瓣病变行单瓣或双瓣置换术者,于换瓣术后3～12个月行同步直流电复律共108例,电复律患者中9例行电复律失败,其余99例电转复为窦性心律后,给予小剂量胺碘酮或普罗帕
Rheumatic heart disease and chronic atrial fibrillation (AF) is one of the most common clinical arrhythmias. Valvular replacement of sinus rhythm after electrical cardioversion remains the focus of clinical research. This study aimed to analyze the efficacy of low-dose amiodarone and propafenone for maintenance of sinus rhythm after electrical cardioversion. 1 Materials and Methods Shanghai Changhai Hospital from January 1993 to January 1997 rheumatic heart disease chronic Af with mitral valve disease or complicated with aortic valve disease, single or double valve replacement surgery, after valve replacement surgery 3 ~ 12 Month synchronous DC cardioversion in 108 cases, electrical cardioversion in 9 cases of electrical cardioversion failed, the remaining 99 cases of electrical conversion to sinus rhythm, given low-dose amiodarone or propafas