急性冠脉综合征伴发心律掉常的处理(国外英文资料).docVIP

急性冠脉综合征伴发心律失常的处理(国外英文资料) The incidence of acute ST segment elevation myocardial infarction was 5 percent. Most of the persistent ventricular arrhythmias in STEMI occur in 24-48h after myocardial ischemia. Quickening the STEMI patients in the treatment of reperfusion ventricular arrhythmia risk factors, including thrombolysis TIMI grade level 0, inferior wall infarction, before all lead ST segment displacement, creatinine clearance decreased, Killip class 1 basis systolic blood pressure is low and basic heart rate 70 BPM. (2) to merge arrhythmia after the ACS attacks and attacks, and the incidence of arrhythmia is directly related to the type of ACS, with nearly 90% of the patients with acute myocardial infarction (mi) can happen arrhythmia, 25% of patients within 24 h after myocardial infarction, cardiac conduction dysfunction occurs and the incidence of serious arrhythmia such as ventricular fibrillation is 4.5%, the most in the first 1 h. The processing of ACS with ventricular arrhythmia (1) non ST segment elevation ACS (NSTE ACS) in patients with persistent VT/VF doesnt often happen, but may occur in the initial or within 48 h after 48 h, whether early or late in the infarction in the infarction, can obviously increase the all-cause mortality NSTE ACS patients, thus to closely monitoring more than 48 h and give the intervention to prevent the occurrence of cardiac arrhythmia, and implantation of ICD in patients with early VT/VF. (2) ventricular arrhythmias often occur in the early stages of STEMI, but they do not require intervention. STEMI patients out-of-hospital cardiac arrest is often due to fatal arrhythmia VT/VF, its mechanism is various, including continuous myocardial ischemia, blood flow dynamics and electrolyte disorder, exhumation and self-discipline. (3) emergency treatment of continuous VT/VF in ACS includes beta-blockers and improed myocardial ischemia, primarily vascularization. NSTE ACS had a low incidence of VT/VF in 48h, with a low incidence