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1房性心动过速(房速)的药物治疗1.1局灶性房速Ⅰ类推荐:血流动力学稳定的房速患者,可静脉注射β受体阻滞剂、地尔硫卓或维拉帕米。Ⅱa类推荐:有症状的局灶性房速患者,推荐长期口服β受体阻滞剂、地尔硫卓或维拉帕米;无结构性心脏病或缺血性心脏病的局灶性房速患者,推荐长期使用氟卡尼或普罗帕酮。Ⅱb类推荐:有症状的局灶性房速患者口服索他洛尔或胺碘酮作为长期治疗方案。1.2多源性房速多源性房速患者急诊治疗时,推荐静脉注射美托洛尔或维拉帕米。但严重的基础肺疾病患者应避免使用β受体阻滞剂,尤其
1 atrial tachycardia (atrial tachycardia) drug treatment 1.1 focal atrial tachycardia Class Ⅰ recommendation: patients with stable hemodynamically tachycardia, β-blockers intravenously, diltiazem or verapamil. Class IIa Recommended: Long-term oral beta-blockers, diltiazem or verapamil are recommended for patients with symptomatic focal atrial tachycardia; focal atrial tachycardia without structural heart disease or ischemic heart disease, Long-term use of flecainide or propafenone is recommended. Class IIb Recommended: Patients with symptomatic focal atrial tachycardia receive sotalol or amiodarone as a long-term treatment regimen. 1.2 multi-source atrial tachycardia patients with multi-source tachycardia emergency treatment, it is recommended intravenous metoprolol or verapamil. However, patients with severe underlying lung disease should avoid the use of beta-blockers, especially