Résumé
Objective To explore the characteristics of the reperfusion arrhythmia after acute myocardial infarction (AMI) pa-tients underwent emergency coronary interventional therapy ,in order to reduce the incidence of serious arrhythmia ,and improve the prognosis and quality of life .Methods Clinical data of 147 patients from January 2009 to May 2012 with acute myocardial infarction occurrence reperfusion arrhythmia after underwent emergency coronary interventional treatment were analyzed .Results In 147 ca-ses ,62 cases of reperfusion arrhythmia occurred .Infarct-related artery for the left anterior descending branch (LAD) 33 patients (LAD group ) ,left circumflex artery (LCX) 7 cases (LCX group ) after surgery ,the right coronary artery(RCA) 22 cases (RCA group) .The tachyarrhythmia in LAD group was higher than RCA group(P6 h arrhythmia had 19 cases occurred ;Arrhythmia after acute myocardial infarction occurred mainly in infarct related artery opened earlier .Conclusion AMI occurrence reperfusion arrhythmia after underwent emergency coronary interventional treatment have high incidence ,there is a correlation between the arrhythmia type and infarct-related artery ,also has a correlation between incidence and reperfusion time .
Résumé
The authors present alternatives for the treatment of cardiac arrhythmias. Its detection is based on the use of different methods that record the cardiac electrical activity. The treatment involves intervening in the underlying disorder, antiarrhythmic drugs, stimulation and cardiac defibrillation devices, and, less often, surgery. The technological advances in the last two decades have provided greater efficiency in diagnoses and therapy. Atrial fibrilation patients will benefit from a new set of anticoagulant drugs tested in the past three years. The potential advantages include greater safety and efficacy, as well as convenience for not requiring frequent laboratory controls.
Os autores apresentam as alternativas terapêuticas para o tratamento das arritmias cardíacas. Sua detecção baseia-se no uso de diferentes métodos de registro da atividade elétrica cardíaca. O tratamento envolve intervenção sobre o distúrbio de base, drogas antiarrítmicas, dispositivos de estimulação e desfibrilação cardíaca e, em casos infrequentes, cirurgia. Avanços tecnológicos nas últimas duas décadas têm propiciado maior eficiência diagnóstica e terapêutica nesse campo. Pacientes portadores de fibrilação atrial vão se beneficiar de um novo conjunto de drogas anticoagulantes testadas nos últimos 3 anos. As vantagens potenciais incluem maior segurança e eficácia, assim como comodidade por dispensarem controles laboratoriais frequentes.