室性心动过速34例治疗体会

The Treatment Experience of 34 Cases With Ventricular Tachycardia

目的探讨室性心动过速的临床疗效。方法选择2012年1月-2014年6月诊断明确的室性心律失常的患者34例抗心律失常药物治疗资料进行分析。结果经治疗室速频率均明显下降,平均下降约30-50次/min,血压恢复正常,32例室速得到控制,死亡2例,有效控制率为94.11%。12例72 h室速控制后有频发室性早搏,其中6例为多源室早,少数成对室早。病情稳定时间为10-21 d。结论心肌梗死后出现恶性心律失常（VT）,伴有心绞痛,其VT发作为心肌缺血引起,改善心肌缺血后VT未再发作。大多数VT发作时症状较重,有的可转为室颤而发生心脏性猝死。因此,对VT必须及时有效地终止。

Objective The clinical treatment effect of ventricular tachycardia is to be investigated. Methods Analyze the anti-arrhythmic medicine treatment data selected from 34 patients who are diagnosed as ventricular tachycardia in hospital from January 2012 to June 2014. Results The ventricular tachycardia frequency has been significantly decreased by 30 to 50 times every minute on average,and patients’ blood pressure return to be normal.0f all 34 patients,32 patients improve their health and stabilize ventricular tachycardia;however,the other 2 patients are dead,the efficiency rate is up to 94.11%.while 12 patients suffer from frequent premature ventricular contractions after 72 hours of ventricular tachycardia control,including 6 cases of multifocal premature ventricular and what’s more,few of them in pair.The stabilization time of the illness is from 10 to 21d. Conclusion Malignant arrhythmia （VT） occurs after myocardial infarction,accompanied by angina, malignant arrhythmia is caused by myocardial ischemia and it does not attack any more since the myocardial ischemia is cured.Most of malignant arrhythmias （VT） would cause severe symptoms and some symptoms would be turned into ventricular fibrillation which can result in cardiac death suddenly.Therefore,the malignant arrhythmia （VT） should be effectively stopped and cured.