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目的回顾分析Holter监测过程中发生的心室颤动(Vf)。方法应用Holter监测对捕捉到的4例Vf进行分析。结果急性冠状动脉综合征3例ST段抬高、1例ST段下降。3例Vf由RonT之室性期前收缩(PVS)诱发,1例Vf由舒张晚期PVS诱发。2例死于Vf,1例一年后死于心力衰竭,1例已生存12年之久。结论急性冠状动脉综合征发生的Vf,主要由RonT之PVS诱发,及时电击除颤,可挽救患者生命。
Objective To retrospectively analyze ventricular fibrillation (Vf) occurring during Holter monitoring. Methods Holter monitoring was used to analyze the captured 4 cases of Vf. Results In 3 cases of acute coronary syndrome, the ST segment was elevated and the ST segment was decreased in 1 case. Three cases of Vf were induced by RonT ventricular premature contractions (PVS), and one case of Vf was induced by late diastolic PVS. 2 died of Vf, 1 died of heart failure one year later, and 1 had survived for 12 years. Conclusions Vf in acute coronary syndrome is mainly induced by PVT of RonT, and defibrillation in time can save the lives of patients.