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本文根据病因、泵衰竭的程度和经验性治疗预防室速复发的作用,回顾性评估持续性单形性室速患者的长期转归。方法本文研究1978～1988年间转来就诊的连续295例患者。根据病因分成四组:A组为冠心病,156例;B组为非缺血性左室疾病,55例;C组为右室疾病,65例;D组查无心脏病,19例。A、B两组测量左室射血分数(LVEF)。首次室速以后随访61±40个月。226例(67.5％)患者进行了电生理激发试验。根据以下方案前瞻性进行治疗,首选第I类抗心律失常药,失败时用胺碘酮,再无效时胺碘酮和I类药物并用,1983年以
This article based on the etiology, the extent of pump failure and empirical treatment to prevent the recurrence of ventricular tachycardia, retrospective assessment of patients with persistent monomorphic ventricular tachycardia long-term outcome. Methods This study examined 295 consecutive patients referred to the hospital between 1978 and 1988. Divided into four groups according to cause: group A was coronary heart disease, 156 cases; group B was nonischemic left ventricular disease, 55 cases; group C was right ventricular disease, 65 cases; A and B were measured left ventricular ejection fraction (LVEF). The first VT was followed up for 61 ± 40 months. 226 patients (67.5%) were electrophysiological challenge test. According to the following scheme prospective treatment, the preferred Class I anti-arrhythmic drugs, failure with amiodarone, and then invalid amiodarone and Class I drugs used in 1983 to