1例77岁男性患者,给予伊布利特1mg溶于0.9%氯化钠注射液50mL中缓慢静脉推注以转复心房颤动。给药16min后转为窦性心律,但转复过程中患者出现十余次窦性停搏,最长R-R间歇4.872s。患者无头晕、头痛、胸痛、胸闷等症状。转复成功后,患者继续服用普罗帕酮、美托洛尔、华法林等药物,无任何不适。 A 77-year-old male patient was given a slow intravenous bolus injection of 1 mg of ibutilide dissolved in 50 mL of 0.9% sodium chloride injection to deliver atrial fibrillation. After administration of 16min to sinus rhythm, but the process of recovery in patients with more than ten times sinus arrest, the longest R-R intermittent 4.872s. Patients without dizziness, headache, chest pain, chest tightness and other symptoms. After the successful recovery, patients continue to take propafenone, metoprolol, warfarin and other drugs, without any discomfort.