about one case of intravenous propafenone-induced acute left ventricular failure of emergency re-thinking（的一个案例中静脉propafenone-induced急性左心室衰竭的紧急反思）.docVIP

About one case of intravenous propafenone-induced acute left ventricular failure of emergency re-thinking Propafenone (xinluping, also known as propafenone, a new type of structure directly on the cell membrane anti-arrhythmic drugs since the late 1970s, .20 for clinical, both acting on the ventricular (Purkinje’s main impact of fiber , less impact on cardiac, heart, and also acts on the formation and conduction of excitement. it is indicated for the prevention or treatment of ventricular or supraventricular ectopic beats, ventricular or supraventricular tachycardia, the WPW syndrome a variety of arrhythmias are valid in the United States used lethal sinus disorders, in other countries, the goods are used in supraventricular arrhythmias and acute myocardial infarction, arrhythmias occur when clinical heart rate is widely recognized that low level of toxicity [1], mainly as gastrointestinal reactions, sometimes when large doses of intravenous drug use can cause bradycardia, atrioventricular block and hypotension, but heart failure may also occur, often within a few minutes of the occurrence, development and death. I Division in April 2011 successfully treated one case of intravenous propafenone-induced acute left ventricular failure, after patients are as follows: 1 Clinical data Patients, male, 70 years old, weighing 65kg, complained: 8-year history of coronary heart disease, sudden dizziness, palpitation, chest tightness, shortness of breath 2 hours, ECG Tip: paroxysmal tachycardia, heart rate 139 beats / min. Outside the hospital 70mg intravenously with propafenone, 5 minutes after the patient sweating, difficulty breathing, immediately give oxygen, intravenous infusion Shengmai, .15 minutes after the poor treatment of “coronary heart disease, arrhythmia,” emergency transfer our department. admission in patients with coma, looking schungite, peripheral cyanosis, sweating, body, clammy skin, weak breathing, P 58 beats / min, R 8 beats / min, SPO2 45%, in the