Influence of lower myocardial infarct patients appeared Ⅲ atrio-ventricular block treatment with thrombolytic recanalization
10.3760/cma.j.issn.1008-6706.2009.05.018
- VernacularTitle:急性下壁心肌梗死并Ⅲ度房室传导阻滞的溶栓治疗
- Author:
Qiang WU
- Publication Type:Journal Article
- Keywords:
Heart Block;
Myocardial Infarction;
Myocardial Reperfusion
- From:
Chinese Journal of Primary Medicine and Pharmacy
2009;16(5):802-803
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the influence of patients suffered from acute lower wall cardiac infarct appeared Ⅲ atrio-ventricular block tneatment with thrombolytic recanalization for the early recovery of sinus rhythm.Methods From October 01 till October 06, a total of 25 hospitalized patients in our hospital with acute lower cardiac infarct, chest pain persist over thirty minutes, but less than one hour, immediately treatment with urokinase thrombolytic therapy after hospitalization, among them 17 cases reinfusion therapy success ful and 8 cases failed. Divided into reinfusion therapy success group and failed group, observate thromholytic therapy 6 hours recanalization success and fail group the situation of sinus rhythm recovore. Results Among 17 cases recanalization success patients and 14 cases recover sinus rhythm within 6 hours ,and 8 case fail in recanalization 2 cases recover sinus rhythm in 6 hours(25%)compared these two groups statistical are meaningful ( P＜0. 01 ). Conclusion Acute lower cardiac infarct patients with Ⅲ atrio-ventricular block must use thrombolytic therapy as soon as possible in order to let oclusive coronary artery recanalize, help to recover sinus rhythm as soon as possible and decrease mortality rate.
