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心律平(Propafenoni)是Ic类抗心律失常药,对快速心律失常有较好疗效,但也可引起严重反应,现报道心律平导致心力衰竭并传导阻滞2例如下.例1 男,74岁.因阵发性心悸1年于1988年10月12日入院。体检:T37℃,BP20/10.7kPa(150/80mmHg),心律绝对不齐,120次/分,心尖Ⅱ级收缩期吹风样杂音.ECG示心房颤动,左前分支阻滞,左室肥厚。2DE示左室后壁节段性运动减弱.入院诊断为冠心病、阵发性房颤。因房颤反复发作于1989年1月9日给心律平,450mg/d。1
Propafenoni is an anti-arrhythmic agent of type Ic and has a good effect on tachyarrhythmia, but it can also cause serious reactions. It is reported that heart rhythm leads to heart failure and conduction block in 2 cases. One year due to paroxysmal palpitations was admitted on October 12, 1988. Physical examination: T37 ℃, BP20 / 10.7kPa (150 / 80mmHg), absolute irregular heartbeat, 120 beats / min, apical Ⅱ systolic hair-like murmur.ECG showed atrial fibrillation, left anterior branch block, left ventricular hypertrophy. Left ventricular posterior segmental 2DE showed weakened movement. Admission diagnosis of coronary heart disease, paroxysmal atrial fibrillation. Recurrent atrial fibrillation in January 9, 1989 to heart rate, 450mg / d. 1