Amiodarone in the treatment of ventricular arrhythmias clinical analysis of 90 cases.docVIP

 PAGE \* MERGEFORMAT 6 Amiodarone in the treatment of ventricular arrhythmias clinical analysis of 90 cases [Keywords:] amiodarone; ventricular arrhythmia; thyroid function We collected and analyzed the treatment of ventricular arrhythmias with amiodarone 90 patients, including refractory sustained ventricular arrhythmia, 34 patients to understand the efficacy of amiodarone in the treatment of this disease and safety, are summarized below. 1 Materials and Methods 1.1 General Information 90 patients were 200401-200812 Month enrolled patients, 42 males and 48 cases female, aged 43 to 78 years, mean 55 years, all cases were confirmed by surface electrocardiogram (ECG) and dynamic electrocardiogram (Holter ) diagnosis, including bursts of premature ventricular contractions, PVCs derived more frequent, paroxysmal ventricular tachycardia and sustained ventricular tachycardia than long QT syndrome; 8 cases of hyperthyroidism; electrolyte disturbances in 14 patients; diagnosed coronary heart disease in 49 cases, 14 cases of dilated cardiomyopathy, cardiomyopathy in 13 cases, 14 cases of unknown cause. 1.2 Methods 90 patients were treated in the underlying diseases on the basis of conventional treatment with amiodarone, which affect the blood flow study, high-risk ventricular arrhythmia are the first 34 patients to intravenous injection, 3 ~ 5mg/kg, followed by 1.0 ~ 1.5 mg / min to maintain 24h later changed to oral and began loading oral 0.2tid 14d, to 0.2bid 30d, the amount of 0.2qd be maintained after 3 months of treatment, then every other day for 1 reduction, for 1 year; also check the thyroid function. 1.3 The effect of the standard non-sustained ventricular tachycardia, paroxysmal ventricular tachycardia by 90%, and premature ventricular beats reduced by 80% to be effective. 1.4 All patients before treatment observation methods are check ECG, Holter, blood, thyroid function, liver and kidney function and chest X-ray treatment after the rev