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关于心房颤动复律的问题,大家一致认为采用同步电复律方法简便,安全,成功率高可达80～90%。但无论药物或电复律,均存在减少并发症,提高成功率和如何持久地维持窦性心律等问题。一、如何提高转复成功率1.复律成败与适应症的选择有直接关系。大家认为:患房颤时间愈久,心脏过大,有合并症者(如心衰、风湿活动、电解质紊乱、心内膜炎等)不宜复律,如某些病例经过治疗,一般情况改善,纠正了合并症后,再行复律,亦可获成功。
On the issue of atrial fibrillation cardioversion, we all agree that the use of synchronous cardioversion method is simple, safe, high success rate of up to 80 to 90%. However, no matter drugs or cardioversion, there are reducing complications, improve the success rate and how to sustain sinus rhythm and other issues. First, how to improve the success rate of recovery 1. The success or failure of cardioversion has a direct bearing on the choice of indications. We believe that: the longer the atrial fibrillation, the heart is too large, there are complications (such as heart failure, rheumatism, electrolyte imbalance, endocarditis, etc.) should not be complicated, such as some cases after treatment, the general situation improved, Correct the complication, repeat cardioversion, can also be successful.