期刊文献+

硝酸甘油倾斜试验诱发的心脏停搏 被引量:4

原文传递
导出
摘要 目的探讨硝酸甘油倾斜试验(NTTT)的安全性,对其诱发的心脏停搏进行分析。方法选择基础倾斜试验阴性的患者,舌下含化硝酸甘油0.3 mg,统计该试验过程中出现的各种心脏停搏。结果1333例MTTT有32例发生5s以上的心脏停搏,发生率为2.4%,女多于男,其中复合性窦性停搏28例,一过性Ⅲ度房室传导阻滞伴心室停搏4例,并有25例心脏停搏伴阿-斯综合征。结论NTTT的安全性并不一定高于异丙基肾上腺素倾斜试验,在实际工作中应根据临床具体情况选择适合患者本人的药物激发试验。
出处 《中国综合临床》 北大核心 2007年第11期1000-1001,共2页 Clinical Medicine of China
  • 相关文献

参考文献4

  • 1Fitzpatrick A. Sutton R. Tilting towards a diagnosis in unexplained recurrent syncope [ J ]. Lancet, 1989,251 (8639) :658-660.
  • 2Baron-Esquivias G, Pedrote A, Cayuela A, et al. Long-term outcome of patients with asystole induced by head-up tilt test[ J]. Eur Heart J,2002,23 (6) :483-489.
  • 3Kapoor WN. Current evaluation and management of syncope [ J ]. Circulation ,2002,106 ( 13 ) : 1606-1609
  • 4林治湖,杨延宗,杨东辉.自主神经系统与心律失常[J].中华心律失常学杂志,2002,6(2):120-122. 被引量:40

二级参考文献18

  • 1Loffelholz K,Pappano AJ.The parasympathetic neuroeffect on the junction of the heart.Pharmacol Res,1985,37:1-24.
  • 2Salata JJ ,Jalife J."Fade" of hyperpolarizing responses to vagal stimulation at the sinoatrial and atriaoventricular node of the rabbit heart.Cirs Res,1985,56:718-727.
  • 3Difrancesco D,Ducouret P,Robinson RB.Muscarinic modulation of cardiac rate at low acetylcholine concentrations.Science,1989,243:669-671.
  • 4Verriner RL.Autonomic nervous system.In:Pordrid PJ,eds.Cardiac arrhythmia:mechanism,diagnosis,and management.1 st Ed Maryland:Willianms & Wilkins,Baltimore,1995.151-210.
  • 5Kammerling J J,Green FJ,Watanabe AM,et al.Denervation supersensitivity of refractoriness in non-infarcted areas apical to transmural myocardial infarction.Circulation,1987,76:383-393.
  • 6Wallick DW,Stuesse SL,Masuda Y.Sympathetic and periodic vagal influences on antegrade and retrograde conduction through the canine atrioventricular node.Circulation,1986,73:830-836.
  • 7Martin P.The influence of the parasympathetic nervous system on atrioventrioular conduction.Circ Res,1977,41:593-599.
  • 8Skinner JE,Mohr DN,Kellaway P.Sleeping -stage regulation of ventricular arrhythmias in the unanesthetized pig.Circ Res,1975,37:342-349.
  • 9Skinner JE,Beder SD,Entman ML.Psychological stress activates phosphorylase in the heart of the conscious pig without increasing heart rate and blood pressure.Proc Natl Acad Sci USA,1983,80:4513-4517.
  • 10Oppenheimer SM,Hachinski VC.The cardiac consequences of stroke.Neuro Clin,1992,10:167-176.

共引文献39

同被引文献26

  • 1文海兰.静脉应用硝酸甘油的不良反应预防及护理体会[J].求医问药(下半月刊),2012,10(12):696-697. 被引量:3
  • 2李茗香,何芝香,王成,林萍,李雯,郑慧芬,薛小红,谢振武.倾斜试验用于诊断血管迷走性晕厥的护理[J].护理学杂志,2006,21(5):26-27. 被引量:10
  • 3侯翠红,楚建民,浦介麟,华伟,张澍.硝酸甘油与异丙肾上腺素直立倾斜试验诊断血管迷走性晕厥对比研究[J].中国循环杂志,2006,21(4):284-287. 被引量:13
  • 4郑慧芬,王成,何芝香,李茗香,林萍,薛小红,刘晓燕,许毅.不明原因晕厥患者直立倾斜试验反应特点[J].中国急救医学,2007,27(7):580-583. 被引量:7
  • 5胡焉,李晓玲.循证护理的理论与实践[M].上海:复旦大学出版社,2007:192.
  • 6Kaufnlann H, Bhattactmrya K. Diagnosis and treatment of neurally mediated syncope[ J ]. Neurologist ,2002,8 (3) : 175 - 185.
  • 7Kouakam C, Lacroix D, Klug D, et al. Deter - minants of malignant vasovagal syncopes with asystole disclosed by the tilting test and thera - peutic implications [ J ]. Ann Cardiol Angeiol Paris, 1997, 46:135 - 143.
  • 8Kabul HK, Celik M, Yuksel UC, et al. Increased sympathetic acti- vation in patients with vasovagal syncope is associated with higher mean platelet volume levels [ J ]. Eur Rev Med Pharmacol Sci, 2014, 18 (2) : 235 -241.
  • 9Moya A, Sutton R, Ammirati F, et al. Task force for the diagnosis andmanagement of syncope (version 2009 ) [ J ]. Eur Heart J, 2009, 30(21) : 2631 -2671.
  • 10Iwase S, Nishimura N, Mano T. Role of sympathetic nerve activity in the process of fainting[J]. Front Physiol, 2014, 15(5) : 343.

引证文献4

二级引证文献3

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