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目的:了解心脏骤停患者的冠状动脉造影特点和临床表现情况,并探讨它们之间的关系。方法:收集历年来因心脏骤停到我院抢救并行冠状动脉造影的病例28例。分析其冠状动脉造影特点、临床表现以及它们之间的关系。结果:心脏骤停患者右冠状动脉近段、右冠状动脉近段合并左回旋支以及3支血管严重病变多见。心律失常为突发心室颤动、室性心动过速,以及在窦性心动过缓、房室传导阻滞、窦性停搏基础上,出现心室逸搏、心室停顿。结论:心脏传导系统上游组织急性缺血损伤可能是导致致命性心律失常进而心脏骤停的原因。
Objective: To understand the characteristics of coronary angiography and clinical manifestations in patients with cardiac arrest and to explore the relationship between them. Methods: Twenty-eight cases of coronary artery angiography undergoing cardiac arrest over the years were collected. Analysis of coronary angiography features, clinical manifestations and the relationship between them. Results: In patients with cardiac arrest, the proximal segment of the right coronary artery, the proximal segment of the right coronary artery, the left circumflex branch and the three major vascular lesions were more common. Arrhythmia is sudden ventricular fibrillation, ventricular tachycardia, as well as in sinus bradycardia, atrioventricular block, sinus arrest based on the emergence of ventricular dysfunction, ventricular pause. CONCLUSIONS: Acute ischemic injury upstream of cardiac conduction system may be the cause of fatal arrhythmia and cardiac arrest.