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目的本文对62例慢性心功能不全按NYHA心功能分级II级24例,III级28例,IV级10例。患者心律失常进行分析。方法其中男34例,女28例,平均年龄56.4岁,结果慢性心功能不全患者中心房纤颤发生率占35.5%,为最多,其次为室性早搏及房性早搏,发生率分别为24.2%和19.4%,病因多为冠心病、肺心病、高血压心脏病。结论某些心律失常如心房纤颤主要与心脏本身的病变密切相关,而某些心律失常可能主要与心功能不全时内环境紊乱及药物有关。因此,在处理此类心律失常时应寻找导致心律失常的原因,综合治疗,对使用心律失常药物应持谨慎态度,权衡利弊,避免滥用抗心律失常的药物。
ObjectiveTo 62 cases of chronic heart failure by NYHA cardiac function grade II 24 cases, III 28 cases, IV 10 cases. Arrhythmia in patients was analyzed. Methods There were 34 males and 28 females, with an average age of 56.4 years. Results The incidence of atrial fibrillation was 35.5% in patients with chronic cardiac insufficiency, followed by ventricular premature beats and atrial premature beats, the rates were 24.2% And 19.4%, mostly due to coronary heart disease, pulmonary heart disease, hypertension heart disease. Conclusion Some arrhythmias, such as atrial fibrillation, are closely related to the heart itself, while some arrhythmias may be mainly related to internal environment disorders and drugs during cardiac insufficiency. Therefore, in dealing with such arrhythmias should look for the cause of arrhythmia, comprehensive treatment, the use of arrhythmic drugs should be cautious, weigh the pros and cons, to avoid abuse of anti-arrhythmic drugs.