摘要
目的 探讨急性心肌梗死并发心房颤动的临床特点及治疗。方法 对３３例急性心肌梗死并发心房颤动的临床资料进行了回顾性分析。结果 急性心肌梗死并发心房颤动的发生率为１４．４％，梗死部位以广泛前壁乡见。结论 急性心肌梗死并发心房颤动多见于梗死后左心功能不全或窦房结功能低下所致，当。心室率＞１２０／分时应给予紧急措施控制心室率．若心房颤动持续不能转复则预后不良。
Objective To explore the clinical feature and therapy in patients with acute myocardial infarction complicated by atrial fibrillation. Methods Clinical data was analysed retrospectively in 33 patients with acute myocardial infarction patients complicated by atrial fibrillation. Results Among 476 patients with acute myocardial in-farction,the prevalence rate of atrial fibrillation was 14. 4% (33/476) .which occured mostly in patients with gener-alized anterior myocardial infarction.Conclusion Atrial fibrillation is induced mostly by left heart dysfunction or hy-pofunction of sinus node in patients with acute myocardial infarction,atrial fibrillation should be treated immediately to decrease the ventricular heart rate when the ventricular heart rate excess 120 beats/min.
