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顿服普罗帕酮联合电复律转复持续性心房颤动的临床观察

Clinical effect of propafenone combined with electrical cardioversion in converting persistent atrial fibrillation
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摘要 目的探讨普罗帕酮联合电复律转复持续性心房颤动的效果。方法30例持续性房颤患者电复律前服用负荷量普罗帕酮,房颤转复服用小剂量普罗帕酮100mg,每天3次维持。结果29例患者均转为窦性心律,2例患者转复后窦性心律不能维持,早期有效率为90%。随访(12.3±2.0)月,期间5例(18.5%)复发,总体73.3%维持窦性心律。结论普罗帕酮联合电复律是治疗持续心房颤动的有效方法。 Objective To study the effect of propafenone combined with electrical eardioversion in converting persistent atrial fibrillation. Methods Thirty patients with persistent atrial fibrillation underwent a loading dose of propafenone administration before electrical cardioversion, then the patients receive propafenone maintenance therapy. Results Twenty-nine patients were converted to sinus rhythm, of these, sinus rhythm can not be maintained in two cases,so the early effecive rate was 90% ,during the follow-up survey period of (12.3 ± 2.0) month,5 cases(18.5%) were recurrence,so the total maintenance rate of sinus rhythm was 73.3%. Conclusion Propafenone combined with electrical cardioversion may provide an effective therapy in converting persistent atrial fibrillation.
出处 《哈尔滨医科大学学报》 CAS 北大核心 2006年第6期502-504,共3页 Journal of Harbin Medical University
关键词 心房颤动 普罗帕酮 心脏复律 直流电 atrial fibrillation propafenone electrical cardioversion
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参考文献9

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