期刊文献+

心脏外科手术后心律失常的药物治疗 被引量:11

下载PDF
导出
摘要 心房颤动(简称房颤)和恶性室性心律失常是心脏手术后需要防治的心律失常。术前使用具有β受体阻滞活性的药物如β受体阻滞剂、胺碘酮和索他洛尔可预防房颤的发生。对于心功能不全或有器质性心脏病的术后房颤而不急需电复律者可选择胺碘酮转复和维持;对没有心力衰竭者,可选胺碘酮、索他洛尔或伊布利特,亦可选择IA类抗心律失常药转复。对房颤心室率控制的一线用药是β受体阻滞剂,也可选择胺碘酮或地尔硫卓。对于快速性室性心律失常一般选择静脉注射β受体阻滞剂美托洛尔;有心功能损害者,宜使用胺碘酮。对血流动力学不稳定的室性心律失常首选电复律;稳定者,药物复律首选胺碘酮,其次是利多卡因。
作者 李莉
出处 《中国心脏起搏与心电生理杂志》 2007年第1期11-13,共3页 Chinese Journal of Cardiac Pacing and Electrophysiology
  • 相关文献

参考文献18

  • 1Bradley D, Creswell LL, Hogne CW, et al. Pharmaclogic prophylasix.American college of chest physicians guidelines for the prevention and management of postoperative atrial fibrillation after cardiac surgery[J]. Chest, 2005,128:395
  • 2Martinez EA, Bass EB, Zimetbaum P. Pharmacologic control of rhythm. American colIage of chest physicians guidelines for the prevention and management of postoperative atrial fibrillation after cardiac surgery[ J ]. Chest,2005,128:48S
  • 3Fuster V. Ryden LE, Cannom DS, et al. ACC/AHA/ESC 2006 guidelines for the management of patients with atrial fibfillation-excecutive summary[J]. Eur Heart J ,2006,27:1 979
  • 4Ommen SR, Odell JA, Stanton MS. Atrial arrhythmias after cardiothoracic surgery[J]. N Engl J Med,1997, 336:1 429
  • 5Creswell LL, Schuessler RB, Rosenbloom M, et al. Hazards of postoperative atrial arrhythmia[J]. Ann Thorac Surg. 1993,56:539
  • 6Crystal E, Garfinkle MS, Connolly SS, et al. Interventions for preventingpost-operative atrial fibrillation in patients undergoing heartsurgery[J]. Cochrane Database Syst Rev,2004,18(4) :3611
  • 7Daoud EG, Strickberger SA, Man KC, et al. Preoperative amiodarone as prophylaxis against atrial fibrillation after heart surgery[J].N Engl J Med, 1997,337 : 1 785
  • 8Andrews TC, Reimold SC, Berlin JA, et al. Prevention of supraventricular arrhythmias after coronary artery bypass surgery. A meta-analysis of randomized control trials [ J ]. Circulation, 1991,84 : Ⅲ236
  • 9Kowey PR, Taylor JE, Rials SJ, et al. Meta-analysis of the effectiveness of prophylactic drug therapy in preventing supraventricular arrhythmia early after coronary artery bypass grafting [ J ]. Am J Cardiol, 1992,69 : 963
  • 10Podrid PJ. Prevention of postoperative atrial fibrillation : what is the best approach [ J ]? J Am Coll Cardiol, 1999,34 : 340

同被引文献85

引证文献11

二级引证文献20

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部