不同药物即时转复阵发性室上性心动过速的疗效观察

The Observation of Efficacy on Instant Cardioversion of Paraxomal Super-ventricular Tachycardia with Different Agents

目的 :探讨不同药物即时转复阵发性心动过速 (PSVT)患者的疗效及安全性。方法 :对 178例PSVT患者随机分为六种药物治疗。结果 :PSVT转复例次率普罗帕酮为 97.7% ,阿拉明94 .4 % ,维拉帕米 93.3% ,ATP85.7% ,罗通定 76 .4 % ,硫酸镁 58.1% ,副反应例次率普罗帕酮最低9.3% ,其次维拉帕米 15.6 % ,阿拉明 16 .7% ,硫酸镁 4 6 .5% ,罗通定 55.9% ,ATP最高 6 6 .7%。结论 :普罗帕酮转复率最高 ,副作用最低 ,为PSVT复律的首选药物。

object: To explore the efficacy and safety of different agents for instant cardioversion of paraxomal super ventricular tachycardia (PSVT). Methods: 178 patients with PSVT were randomly divided into six groups and treated with different agents respectively. Results: The effective rates of PSVT cardioversion were 97.7% with Propafenone, 94.4% with aramine, 93.3% with verapamil, 85.7% with adenosine triphosphate(ATP),76.4% with rotundine and 58.1% with magnesium Sulfate;the corresponding incidence of adverse events of the above agents were 9.3%, 15.6%,16.7%,46.5%,55.9%,and 66.7% respectively. Conclusion: Propafenone is the superlative agents in the treatment of PSVT with the highest cardioversion rate and the lowest side effect rate.