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由于24小时动态心电图(DCG)的广泛应用,室性心律失常的检出率明显增高。据统计占我院心内科年住院病例的32％,但并非所有室性心律失常的患者都需用抗心律失常药物,特别是近年来抗心律失常药物的致心律失常作用越来越为临床所关注。通过治疗降低室性心律失常的级别并不是我们治疗的目的,应将治疗目的转移到心律失常的患者本身。我们通过对88例不同原因所致的室性心律失常的治疗随访观察,初步提出对于室性心律失常患者治疗与否的选择标准。
Due to the wide application of 24-hour ambulatory electrocardiogram (DCG), the detection rate of ventricular arrhythmia was significantly increased. According to statistics, accounting for 32% of hospitalized cases of cardiology in our hospital, but not all patients with ventricular arrhythmia need antiarrhythmic drugs, especially in recent years, antiarrhythmic drugs induced arrhythmia more and more for clinical attention. It is not the purpose of our treatment to reduce the level of ventricular arrhythmias by treatment, and the purpose of treatment should be transferred to the patient with arrhythmia itself. Through the follow-up observation of 88 cases of ventricular arrhythmias caused by different causes, we initially proposed the selection criteria for the treatment of ventricular arrhythmias.