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第三部分心律失常的治疗 (1)病态窦房结综合征的诊断和治疗:临床症状:以头晕、乏力、胸闷等常见,而特异性较强的仍是晕厥,确诊病窦患者中约占1/2有此症状。 (2)病因:有作者报告病窦患者中原发性病窦占51.9％,冠心病引起者34.3％,风心病者5.9％,心肌病4.2％,高血压病1.9％,心肌炎后遗症0.8％。 (3)分型:白求恩医大提出分五型:①窦性心动过缓型;②心动过缓——心动过速交替型;③窦性停搏型;④窦房阻滞型;⑤双结病变型。浙医大提出分四型:其中三型与上述1、2、5型相同,第四型为全
The third part of the treatment of arrhythmia (1) sick sinus syndrome diagnosis and treatment: clinical symptoms: dizziness, fatigue, chest tightness and other common, but the specificity is still strong syncope, the diagnosis of sinus disease accounts for about 1/2 have this symptom. (2) Etiology: There are 51.9% of patients with primary sinus disease, 34.3% of patients with coronary heart disease, 5.9% of rheumatic heart disease, 4.2% of cardiomyopathy, 1.9% of hypertension, and 0.8% of myocarditis sequelae. (3) Type: Bethune Medical University proposed five types: ① sinus bradycardia; ② bradycardia - tachycardia alternating; ③ sinus arrest; ④ sinoatrial block; ⑤ double junction Lesions. Zhejiang University put forward four sub-types: three types and the same type 1,2,5, the fourth type for the whole