analysis of bedside temporary cardiac pacing arrhythmia treatment of acute myocardial infarction（分析床旁临时心脏起搏器心律失常治疗急性心肌梗塞）.docVIP

Analysis of bedside temporary cardiac pacing arrhythmia treatment of acute myocardial infarction [Keywords] temporary cardiac pacing; acute myocardial infarction; arrhythmia February 2001 December 2006 we applied bedside temporary cardiac pacemaker treatment of acute myocardial infarction (AMI) after the arrhythmia in 35 cases, and achieved good clinical results, are as follows. 1 Materials and Methods 1.1 General Information 35 cases of acute myocardial infarction, 24 males and 11 females, mean age (55.06 + -4.3) years, of which the inferior wall AMI 23 cases, with right ventricular AMI 2 cases; anterior AMI 8 cases; anteroseptal AMI 2 例; front wall AMI 2 cases. arrhythmia types: sinus bradycardia, and (or) sinus arrest in 21 cases, including concurrent hypotension in 6 patients, complicated by ventricular tachycardia or accelerated ventricular rhythm 14 cases of self- ; height ~ Ⅲ degree atrioventricular block in 14 cases, including complicated by frequent ventricular contraction, ventricular tachycardia in 4 cases, independent of accelerated ventricular rhythm in 1 case. All the cases were resistant to medical therapy or not by side effects, of which three cases glaucoma, prostatic hypertrophy in 7 cases. 7 cases have occurred in Aspen syndrome. 1.2 Methods Patients were supine, the left subclavian vein into floating electrode 6F catheter, temporary pacemaker connection, send the right ventricular pacing electrode to adjust the pacing electrodes, ECG were observed with or without pacing pulse period contraction and the contraction type, see the V-wave and cavity electrocardiogram with ST-segment elevation 3 ~ 5 mV, that has been in contact endocardial electrode measured pacing threshold, if ≤ 1 mV electrode that set the desired, adjust the output power of 2.5 to 3 times the threshold frequency of 70 ~ 110 times / min, such as pacing stable, fixed electrode, pacing ECG showed complete left bundle branch block diagram. 2 results 35