电解质异常是致命和心室心律不整的基础
1Division of Cardiology, University of North Carolina, Chapel Hill 27599-7075.
Circulation
|January 1, 1992
概括
电解质不平衡,特别是低和,与危险的心室心律失常有关. 这些不平衡在心力衰竭,高血压和心脏病发作后的患者中很常见,增加了突然心脏死亡的风险.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 生物化学 生物化学
背景情况:
- 已知血清的变化会通过改变单纤维电生理学来引起心室节律失常.
- 利尿剂导致的低血会增加高血压和心力衰竭患者突然心脏死亡的风险.
- 低血是致命腹腔失常的独立风险因素,可用于急性心肌梗塞,饥饿和酒.
研究的目的:
- 审查电解质和代谢异常在致命腹腔失常症中的作用.
- 强调在临床管理中考虑这些因素的重要性.
主要方法:
- 关于电解质干扰和心室节律失常的研究的文献综述.
- 分析,和对心脏电生理学的影响.
主要成果:
- 心肌细胞外的增加冠状动脉封闭后是心室心律不整的主要原因.
- 低血与各种临床环境中的心律失常有关.
- 耗可能导致心律失常,但缺乏直接的因果证据.
- 细胞内的变化与缺血期间的节律失常有关,再注射,炼和数字毒性.
结论:
- 电解质和代谢异常是致命心室失常的潜在原因.
- 这些因素应在患有危及生命的心律失常症的患者,特别是高血压,心力衰竭和尿剂使用的患者中经常考虑.
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