心衰回并房性快速性心律掉常的治疗(国外英文资料).docVIP

心衰合并房性快速性心律失常的治疗(国外英文资料) Cardiac failure combined with the treatment of atrial rapid arrhythmia Painstaking care network? The 2014-01-24? Combination of arrhythmia, heart failure primary treatment is to treat the basic diseases, such as acute myocardial infarction, etc.) of line to myocardial revascularization, improve heart function, stable vital signs, correct the neuroendocrine excessive activation, such as application of receptor blockers and ACEI and aldosterone receptor antagonist, etc.; At the same time actively to correct its accompany or trigger factors such as infection, electrolyte disorder (hypokalemia, low blood magnesium, high potassium), high blood pressure, hyperthyroidism, and so on. On the basis of the above treatment, the main treatment of the arrhythmia of atrial fast sex is as follows. 1? Atrial fibrillation, atrial flutter Atrial fibrillation (atrial fibrillation) is the most common form of atrial fibrillation in the ventricular tachycardia, and about 10 to 30 percent of heart failure patients have atrial fibrillation. Atrial fibrillation increases the symptoms of heart failure, increases the risk of thromboembolism, and reduces long-term prognosis. (1) for most merger in patients with atrial fibrillation, ventricular rate control is very important, because to maintain sinus rhythm is often short of the ideal clinical benefit, so far there is no clear evidence in maintain sinus rhythm in patients with heart failure compared to the control of ventricular rate can reduce the morbidity and mortality of heart failure. And heart failure in patients with sinus rhythm is very difficult to maintain, often need to add a class Ⅰ or Ⅲ anti-arrhythmic drugs, some drug negative inotropic effect and cause arrhythmia may increase the risk of death, but in a certain range slow ventricular rate helps the improvement of the symptoms of heart failure. In the case of unstable hemodynamics and lower left ventricular contractions, the first choice of the topical di