EVALUATION OF CARDIOVERSION WITH ATRIAL FIBRILLATION AFTER VALVE REPLACEMENT IN RHEUMATIC HEART DISEASE

Xie Yang et al.

doi:10.13406/j.cnki.cyxb.1990.03.010

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EVALUATION OF CARDIOVERSION WITH ATRIAL FIBRILLATION AFTER VALVE REPLACEMENT IN RHEUMATIC HEART DISEASE

更新时间：2024-01-17

- EVALUATION OF CARDIOVERSION WITH ATRIAL FIBRILLATION AFTER VALVE REPLACEMENT IN RHEUMATIC HEART DISEASE
- Journal of Chongqing Medical University Issue 3, Pages: 213-215(1990)
- 作者机构：
  
  重庆医科大学第一医院心内科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.1990.03.010
  CLC：
- Published：1990，
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[1]谢扬,饶邦复.风湿性心脏病瓣膜置换术后心房纤颤转复效果的对比研究[J].重庆医科大学学报,1990(03):213-215.

Xie Yang et al.. EVALUATION OF CARDIOVERSION WITH ATRIAL FIBRILLATION AFTER VALVE REPLACEMENT IN RHEUMATIC HEART DISEASE. [J]. Journal of Chongqing Medical University (3):213-215(1990)
[1]谢扬,饶邦复.风湿性心脏病瓣膜置换术后心房纤颤转复效果的对比研究[J].重庆医科大学学报,1990(03):213-215. DOI： 10.13406/j.cnki.cyxb.1990.03.010.

Xie Yang et al.. EVALUATION OF CARDIOVERSION WITH ATRIAL FIBRILLATION AFTER VALVE REPLACEMENT IN RHEUMATIC HEART DISEASE. [J]. Journal of Chongqing Medical University (3):213-215(1990) DOI： 10.13406/j.cnki.cyxb.1990.03.010.

摘要

本文就风湿性心脏病瓣膜置换术40例和非手术69例心房纤颤复律效果进行对比研究。就两组复律前的准备、奎尼丁用量、转复电量、即时纠复率（包括单纯药物纠复率）、近期复发率、并发症等进行比较。瓣膜置换组显示奎尼丁用量小

即时纠复率高

近期疗效好

并发症少

心功能改善明显等特点。结合有关文献进行讨论

建议风心病房颤纠复指征

重点应转移到已行瓣膜置换术的病人

Abstract

This article is about the effect of cardioversion treatment with quinidine and electrode defibrillation in 109 patients with atrial fibrillation(Af) in rheumatic heart disease from Jan. 1981 to Aug. 1989.Among these patients

40 had been treated with valve replacement (VR).the other 69 without VR.The results showed. (1) In the group after VR

the sinus rhythm was restored in 38 cases at once

showing an effective rate of 95%.The Af repetition rate was 7.8% in one month and 0.48 gram quinidine was used daily to strengthen the sinus rhythm.(2) In the other group

the sinus rhythm was restored in 60 cases at once with a 86.9% effective rate. In one month

the Af repetition rate was 28.3%.The quinidine daily dose 0.58 gram was required to strnegthen the sinus rhythm. ( 3 )The quinidine syncope occurred in two cases without VR

关键词

风心病瓣膜置换术心房颤功转复

Keywords

Rheumatic Heart Diseasevalve replacementatrial fibrillationcardio-version

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