Emergency rapid arrhythmia amiodarone in the treatment efficacy of 42 cases.docVIP

 PAGE \* MERGEFORMAT 8 Emergency rapid arrhythmia amiodarone in the treatment efficacy of 42 cases [Keywords:] amiodarone, emergency, cardiac arrhythmia Tachyarrhythmia is one of the most common cardiovascular emergency, particularly in patients with structural heart disease, can cause severe hemodynamic disorders, life-threatening arrhythmia termination of the primary task at this time. Amiodarone has wide and unique variety of electrophysiological effects and pharmacological effects, is currently the most widely used as a clinical anti-arrhythmic drugs. I have 42 cases of hospital emergency department for patients with tachyarrhythmias intravenous amiodarone therapy, to achieve a satisfactory effects, are summarized below. Materials and Methods 1. General Information 42 cases were collected in February 2007 ~ February 2009 in our hospital emergency department amiodarone therapy in patients with various tachyarrhythmias, including 22 male and 20 female, aged 16 to 85 years The average age of 63 years, onset of ventricular rate 122 ~ 240 beats / min. 25 cases diagnosed with structural heart disease, including 7 cases of myocardial infarction (old 2 cases, acute in 5 cases, 10 cases of heart failure (NYHA heart function ~ grade, 6 cases of coronary heart disease, cardiomyopathy in 2 patients. without a clear heart disease in 17 cases. tachyarrhythmia in this group showed 12 cases of paroxysmal atrial fibrillation, paroxysmal supraventricular tachycardia in 18 cases, array 5 cases of recurrent ventricular tachycardia, frequent ventricular premature in 4 cases, WPW syndrome with atrial fibrillation in 3 patients. hemodynamic instability were excluded. 2. Methods All patients underwent ECG before treatment, or ECG monitoring, the establishment of intravenous access, amiodarone (brand name: Up to Dragon, Hangzhou Sanofi company produced) load of the first dose of 150 mg +5% GS 20 ml, 10 min pump, then to 1.0 mg / min maintenance infusion, hear