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目的探究心衰伴心律失常患者的诊治方法。方法对患者进行侵入性检查和非侵入性检查,对患者的基础疾病进行治疗,努力改善患者心功能,合理使用血管紧张素Ⅱ受体拮抗剂(ARB)、β受体阻滞剂、强心剂、利尿剂、醛固酮受体拮抗剂以及血管紧张素转换酶抑制剂(ACEI)等药物。结果 186例患者心衰和心律失常得到明显的改善,甚至消失,有效率高达85.3%,20例患者症状有所缓解,但效果不够明显。12例患者因心衰严重,治疗无效而死亡,死亡率为5.5%。结论在对患者进行治疗时,应重点对患者心功能进行改善,因随着患者心功能的改善,心律失常往往会自行消失或得到缓解。
Objective To investigate the diagnosis and treatment of patients with heart failure and arrhythmia. Methods The patients underwent invasive and noninvasive examinations to treat the patients ’underlying diseases, to improve the patients’ heart function, to make proper use of angiotensin Ⅱ receptor antagonist (ARB), β-blockers, cardiotonic agents, Diuretics, aldosterone receptor antagonists and angiotensin-converting enzyme inhibitors (ACEI) and other drugs. Results 186 cases of patients with heart failure and arrhythmia have been significantly improved, or even disappear, the effective rate as high as 85.3%, 20 patients with symptoms eased, but the effect is not obvious enough. Twelve patients died of severe heart failure and ineffective treatment with a mortality rate of 5.5%. Conclusions In the treatment of patients, we should focus on improving the patient’s cardiac function, as patients with cardiac function improved, arrhythmia often disappear or be relieved.