艾司洛尔治疗急性心肌梗死心室电风暴的疗效观察

Clinic Effect of Esmolol on Ventricular Electrical Storm in Patients After Myocardial Infarction

目的观察艾司洛尔治疗急性心肌梗死患者发生心室电风暴的临床疗效。方法选取心肌梗死后心室电风暴患者共56例。24例为对照组,治疗采用胺碘酮或利多卡因及电复律;32例为观察组,治疗采用除对照组方法外,加用艾司洛尔。观察艾司洛尔终止心室电风暴,协助转复的成功率。结果观察组应用艾司洛尔后转复成功率显著高于对照组,需要电除颤复律的次数明显减少。结论静脉应用艾司洛尔治疗心肌梗死后心室电风暴效果显著,临床应尽早使用。

Objective To observe clinic effect of esmolol injection on ventricular electrical storm（VES） in patients after myocardial infarction. Methods We collected 56 patients with VES after myocardial infarction. As control group, 24 cases were treated with amiodarone or lidocaine and electroversion. Besides, as observe group 32 cases were treated with amiodarone or lidocaine and electroversion, Immediately were given esmolol injection when patients were diagnosed VES. The success rate of terminating VES and using electroversion were compared in two groups. Results The success rate of terminating VES using esmolol group were significantly higher than control group.Using electroversion were reduced significantly in esmolol group. Conclusions The injection of esmolol is an effective treatment on VES after myocardial infarction and using esmolol should be earlier.