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作者报道电击复律(electrical cardioversion,EC)治疗甲亢已被控制的永久性心房颤动(AF)22例,并分析影响远期疗效的因素。22(男10,女12)例患者 EC 前甲亢均已满意控制,其中14例服~(131)I,8例行甲状腺次全切除。EC 结果:2例复律失败或24小时内 AF 复发;EC 后1年、2年时仍为窦性心律者分别为12例(55％)和10例(45％);远期随访(平均7.4年)仍为窦性心律者仅8例(36％)。
The authors reported 22 cases of permanent cardioversion (AF) with hyperthyroidism being controlled by electrical cardioversion (EC) and analyzed the factors influencing long-term efficacy. 22 (male 10, female 12) cases of patients with pre-EC hyperthyroidism have been satisfactorily controlled, of which 14 cases of ~ (131) I, 8 cases of subtotal thyroidectomy. EC results: 2 cases of cardioversion failure or AF recurrence within 24 hours; 12 cases (55%) and 10 cases (45%) were still sinus rhythm at 1 year and 2 years after EC respectively. Long-term follow-up 7.4 years) were still sinus rhythm only 8 cases (36%).