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本文报道自1974～1981年收治19例缓慢心率并发快速心律失常患者应用起搏器治疗的情况。其中患冠心病7例,患过急性心肌炎4例,原因不明8例。按心律失常分两组,Ⅰ组快速心律失常为阵发性房速、房颤8例,缓慢心律主要为窦房阻滞、窦性静止。Ⅱ组心律失常为室速共11例,缓慢心律主要为高度或完全性房室传导阻滞。经起搏治疗后缓慢心律均得到控制,Ⅱ组中有2例因室速未能控制而死亡。最后作者等结合文献探讨了缓慢心率并发快速心律失常产生的机制以及应用起搏治疗的结果。
This article reports the treatment of 19 patients with slow heart rate and tachyarrhythmia treated with pacemaker from 1974 to 1981. 7 cases of coronary heart disease, 4 cases of acute myocarditis, 8 cases of unknown cause. According to arrhythmia divided into two groups, Ⅰ group of tachyarrhythmia as paroxysmal atrial normotensive, atrial fibrillation in 8 cases, slow heart rhythm mainly sinoatrial block, sinus rest. Ventricular arrhythmia in group Ⅱ was 11 cases in total, and slow heart rate was mainly high or complete atrioventricular block. Bradycardia was controlled after pacing and 2 patients in group II died of uncontrollable VT. Finally, the author combined with the literature to explore the slow heart rate complicated by tachyarrhythmia mechanism and the application of pacing therapy results.