动态心电图在胺碘酮治疗室性心律失常疗效评价中的应用

Effect of amiodarone on treating ventricular arrhythmia based on dynamic ECG analyzing

目的采用动态心电图检查评价胺碘酮治疗室性心律失常的疗效。方法对150例室性心律失常患者口服胺碘酮治疗。首先每次口服胺碘酮200mg,3次/d;口服3天后,改为每次200mg,2次/d;口服3天后,再改为每次200mg,1次/d,口服3天后停药。治疗前和治疗后第3天、第6天、第9天作动态心电图检查,将治疗前后室性心律失常事件数据进行分析比较。结果 150例中胺碘酮抗室性心律失常有效132例(有效率为88%)。结论动态心电图是检查胺碘酮抗室性心律失常疗效,以及随访的必要检查项目。

Objective To discuss the effect of amiodarone on treating ventricular arrhythmia by dynamic ECG. Methods A total of 150 cases of patients with ventricular arrhythmia were treated by oral administration of amiodarone. In the first three days, took amiodarone 200 mg orally every time, three times a day; in the second three days, took amiodarone 200 mg orally every time , twice a day; in the last three days, took amiodarone 200 mg orally every time ,once a day. The dynamic ECG examination before and after the treatment were taken at the 3rd day, the 6th day and the 9th day. The data of ventricular ar- rhythmia was analyzed before and after treatment. Results The dynamic ECG examination shows that taking amiodarone has a good effect on the ventricular arrhythmia, 132 cases have a good effect among the 150 cases （the check the effect of effective rate is 88% ）. Conclusion Dynamic ECG is a necessary examination to amiodarone on ventricular arrhythmia.