冠心病急性心肌梗塞监护病房的概念起源于心脏复苏术的进展。1947年,Beck等报道用短暂电击心脏来消除心室颤动。1956年,Zoll等在胸壁外放置电极达到去颤成功。1959年,有人报道用经静脉心内起搏来治疗缓慢心律失常和心脏停搏。继而,又发展了用体外心脏按摩来维持血循环的方法。1962年,Lown及其同事又报道了用电击转复房性与室性心律失常的方法。然而,采用这些方法后,心脏复苏的效果仍然差异不一。作为一种自然结果,具有突然死亡危险的患者被集中于装备有连续心电图监护装置的特殊病室内,并配以经过训练的医护人员和迅速进行治疗所需的设备。抗心律失常药物和电去颤术临床应用指 Coronary heart disease The concept of acute myocardial infarction monitoring ward originated in the progress of cardiac resuscitation. In 1947, Beck et al reported that the heart be short-lived to eliminate ventricular fibrillation. In 1956, Zoll et al placed electrodes outside the chest wall to achieve defibrillation success. In 1959, intravenous pacing was reported for the treatment of bradyarrhythmias and cardiac arrest. In turn, a method of using extracorporeal cardiac massage to maintain blood circulation has also been developed. In 1962, Lown and colleagues reported on the use of electrical shock to atrioventricular and ventricular arrhythmias. However, the effects of cardiopulmonary resuscitation are still different with these methods. As a natural consequence, patients at risk of sudden death are concentrated in a special ward equipped with continuous ECG monitoring, with trained health care workers and equipment needed for prompt treatment. Anti-arrhythmic drugs and electrical defibrillation clinical application refers