![]() | 现在位置是: | 首 页 | >> | 新闻中心 > 专家课堂 > 马里兰医学院急诊必知 > 心脏病 |
![]() | 关键字: |
Title: Ventricular Arrhythmias Associated with Myocardial Infarction
题目:心肌梗死相关性的室性心律失常
Author 作者: Semhar Tewelde
翻译:葛赟 校正:肖锋
Therapeutic advances and management of acute myocardial infarction (AMI) has lead to a decreasing incidence of ventricular arrhythmias (VA)
急性心肌梗死治疗的进展,使室性心律失常(VA)的发生频率明显减少。
VA remains a life-threatening occurrence after AMI, and all patients should be monitored closely during this vulnerable period
室性心律失常仍然是急性心肌梗死后危及生命的并发症,所有患者在这一危险期都应严密监测。
VA occurs more frequently inpatients with STEMI versus non-STEMI. Of those who develop VA’s, features associated with poor outcomes include:
与非ST段抬高型心梗相比,ST段抬高型心梗后的室性心律失常出现更为频繁,与恶性预后相关的因素有:
· Late occurrence
出现晚
· Sustained monomorphic VT
持续单型室性心动过速
· Concurrent heart failure
合并心力衰竭
· Cardiogenic shock
心源性休克
· Failure or lack of revascularization
血运重建失败或没用进行重建
References 参考文献:
Liang J, Prasad A, et al. Temporal Evolution and Implications of Ventricular Arrhythmias Associated With Acute Myocardial Infarction. Cardiology in Review: 21 (6) Nov/Dec 2013.