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近来发现伴有室性心动过速的充血性心力衰竭患者猝死的危险性很大。但是在各种原因引起的严重心力衰竭病人中室性心动过速的发生率尚无所知。本文目的在于估价室性心律失常的发生率以及其对严重慢性充血性心力衰竭病人预后的潜在影响。方法:35名心功能为Ⅲ～Ⅳ级的充血性心力衰竭患者(6名女性,29名男性,年龄17～80岁),均未接受过抗心律失常的治疗,但使用了狄戈辛、利尿剂和硝酸酯等药物治疗。血清狄戈辛浓度和血钾均在正常范围。所有病员在室喷血分数<20％,出现心力衰竭已有6～94个月。其中31例为窦性心律,4例为心房颤动。18例患有缺血性心脏病,17例患有非缺血性心肌病。使用三腔漂浮气球囊热稀
It has recently been found that patients with congestive heart failure with ventricular tachycardia have a high risk of sudden death. However, the incidence of ventricular tachycardia in patients with severe heart failure due to various causes is unknown. The purpose of this article is to assess the incidence of ventricular arrhythmias and its potential impact on the prognosis of patients with severe chronic congestive heart failure. METHODS: Thirty-five patients (6 women, 29 males, aged 17-80 years) with congestive heart failure who had grade III-IV heart failure were treated with antiarrhythmic therapy but with Digoxin, Diuretics and nitrates and other drug treatment. Serum Digoxin concentration and serum potassium are in the normal range. All patients in the room spurt score <20%, heart failure has been 6 to 94 months. Among them, 31 were sinus rhythm and 4 were atrial fibrillation. Eighteen had ischemic heart disease and 17 had nonischemic cardiomyopathy. Use three-chamber floating balloon blanks