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本文报道口服乙胺碘呋酮治疗72例复发性阵发性心动过速患者,其中39例为伴有预激综合征的快速心律失常(阵发性心房颤动及室上性心动过速),15例为不伴有预激综合征的阵发性心房颤动或心房扑动,18例为复发性阵发性室性心动过速。方法:患者年龄12~73岁,均有阵发性心动过速反复发作史,至少用过三种其他抗心律失常药物无效。乙胺碘呋酮开始口服600毫克/日×1周,400毫克/日×1周,以后根据反应调整剂量,至少200毫克/日。如治疗无效,疗程不超过四周。
This article reports the oral amiodarone treatment of 72 patients with recurrent paroxysmal tachycardia, including 39 cases with pre-excitation syndrome of tachyarrhythmia (paroxysmal atrial fibrillation and supraventricular tachycardia) Fifteen patients had paroxysmal atrial fibrillation or atrial flutter without pre-excitation syndrome and 18 patients had recurrent paroxysmal ventricular tachycardia. Methods: Patients aged 12-73 years had recurrent episodes of paroxysmal tachycardia and were ineffective with at least three other antiarrhythmic drugs. Amiodarone started orally 600 mg / day × 1 week, 400 mg / day × 1 week, after the dose adjusted according to the response, at least 200 mg / day. If the treatment is invalid, no more than four weeks.