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心房纤颤(房颤)是一种常见的心律失常,临床上多见于风心病、冠心病、心肌病等多种疾病。冠心病房颤与心功能的关系至今鲜有报道。本文随机选择95例诊断明确的冠心病患者其中急性心肌梗塞(AMI)19例,平均年龄61±5.6岁;陈旧性心肌梗塞(OMI)20例,平均年龄57±4.2岁;另外56例为心绞痛或心绞痛合并心律失常患者(包括病态窦房结综合征2例),平均年龄58.2±2.7岁。所有病人按有无房颤分为两组:有房颤组25例(26.3％),含MI3例;无房颤组70例(73.7％),含MI36例。所有患者均按纽约心脏病学会分级标准对心功能进行判定。房颤组心功能<2级者7例(28％),其中2例为病态窦房结综合征,心功能>3级者18例
Atrial fibrillation (atrial fibrillation) is a common arrhythmia, clinical more common in rheumatic heart disease, coronary heart disease, cardiomyopathy and other diseases. Coronary heart disease atrial fibrillation and cardiac function so far rarely reported. Ninety-five patients with diagnosed coronary heart disease were randomly selected from 19 patients with acute myocardial infarction (AMI) with mean age of 61 ± 5.6 years, 20 patients with old myocardial infarction (OMI) with an average age of 57 ± 4.2 years and 56 patients with angina Or angina pectoris patients with arrhythmia (including two cases of sick sinus syndrome), with an average age of 58.2 ± 2.7 years. All patients were divided into two groups according to the presence or absence of atrial fibrillation: there were 25 cases (26.3%) with atrial fibrillation group, including 3 cases of MI; 70 cases (73.7%) without atrial fibrillation group, including MI36 cases. All patients according to the New York Heart Association grading criteria for cardiac function. Seven patients (28%) had cardiac function <2 in AF group, of which 2 were sick sinus syndrome, and those with cardiac function> 3 were 18