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目的 :探讨风湿性心脏病二尖瓣狭窄伴心房颤动 (AF)的患者经皮二尖瓣球囊扩张术 (PBMV )术前口服胺碘酮结合术后即刻电复律的安全性及应用价值。方法 :采用Inoue单球囊扩张风心病二狭伴AF3 8例 ,PBMV术后即刻给予 10 0～ 3 0 0J电复律 ,术后随访 3个月。结果 :本组PBMV术后即刻电复律成功率高 ( 92 11%) ,无严重心律失常及栓塞并发症。口服胺碘酮维持窦性心律有效率 ( 88 5 7%)。结论 :PBMV术后心房颤动即刻电复律不仅安全可行 ,而且效果满意
Objective: To investigate the safety and application value of immediate cardioversion after oral administration of amiodarone combined with percutaneous balloon mitral valvuloplasty (PBMV) in patients with rheumatic mitral stenosis and atrial fibrillation (AF) . Methods: Inoue single balloon dilatation of rheumatic heart disease with AF3 8 cases, PBMV immediately after the 10 0 ~ 300J electrical cardioversion, were followed up for 3 months. Results: The success rate of electromyography immediately after PBMV in this group was 92 11%. There was no serious arrhythmia and embolism complications. Oral amiodarone maintained sinus rhythm efficiency (88 57%). Conclusions: Immediate electrical cardioversion of atrial fibrillation after PBMV is not only safe and feasible, but also satisfactory