论文部分内容阅读
目的观察急性心肌梗死后心律失常的动态心电图表现。方法选取2015年1~10月医院收治的急性心肌梗死并发心律失常患者45例,对其临床资料进行回顾性分析,统计心律失常患者的不同心电图表现极其所占比例。结果 45例心肌梗死患者中出现室性心律失常的比较较高,其中室性早搏20例,阵发性室性心动过速6例,心室颤动5例,室性心律失常占31例(68.89%);另外,其他类型的心律失常包括3例心房纤颤、1例房室传导阻滞、1例束支传导阻滞、4例窦性心动过缓、1例房性早搏以及4例窦性心动过速。急性心肌梗死合并心律失常患者中死亡4例,其中死于阵发性室性心动过速1例,心室颤动2例,房室传导阻滞1例,45例急性心肌梗死合并心律失常患者的病死率为8.89%。结论室性心律失常的发生率最高,也是导致心肌梗死患者出现死亡的重要原因,其他类型的心律失常也可能导致心肌梗死患者出现死亡,但是相对于室性心律失常而言,其病死率较低。
Objective To observe the dynamic electrocardiogram of arrhythmia after acute myocardial infarction. Methods Forty-five patients with acute myocardial infarction complicated by arrhythmia admitted to our hospital from January to October in 2015 were retrospectively analyzed, and the statistics of different electrocardiogram (ECG) performance in patients with arrhythmia were analyzed. Results Among the 45 patients with myocardial infarction, ventricular arrhythmia was relatively high, including 20 cases of premature ventricular contractions, 6 cases of paroxysmal ventricular tachycardia, 5 cases of ventricular fibrillation, 31 cases of ventricular arrhythmia (68.89% ). In addition, other types of arrhythmia include 3 cases of atrial fibrillation, 1 case of atrioventricular block, 1 case of bundle branch block, 4 cases of sinus bradycardia, 1 case of atrial premature beat and 4 cases of sinus Tachycardia. Four patients died of acute myocardial infarction complicated with arrhythmia, including 1 died of paroxysmal ventricular tachycardia, 2 cases of ventricular fibrillation, 1 case of atrioventricular block, and 45 died of acute myocardial infarction with arrhythmia The rate is 8.89%. Conclusions The incidence of ventricular arrhythmia is the highest and is also the main cause of death in patients with myocardial infarction. Other types of arrhythmia may also lead to death in patients with myocardial infarction, but their mortality is lower than that of ventricular arrhythmia .