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外科研究与新技术 ›› 2019, Vol. 8 ›› Issue (4): 273-277.doi: 10.3969/j.issn.2095-378X.2019.04.015

• 论著 • 上一篇    下一篇

以运动为主的心脏康复对心肌炎引起顽固性室性心律失常治愈1例及文献报道

朱顺锴1, 黄加银1, 尤宗兰1, 谢宗渊1, 王永武2   

  1. 1.昆山市锦溪人民医院心内科,昆山 215300
    2.同济大学附属同济医院心胸外科,上海 200065
  • 收稿日期:2019-11-26 出版日期:2019-12-28 发布日期:2020-09-14
  • 通讯作者: 王永武, 电子信箱:wangyongwu993@126.com
  • 作者简介:朱顺锴(1989—),男,本科,住院医师,从事心内科疾病的诊断及治疗

Efficacy of exercise-based cardiac rehabilitation on refractory ventricular arrhythmia caused by myocarditis:one case report and literature analysis

ZHU Shunkai1, HUANG Jiayin1, YOU Zonglan1, XIE Zongyuan1, WANG Yongwu2   

  1. 1. Department of Cardiology, Kunshan Jinxi People’s Hospital, Kunshan 215300, China
    2. Department of Cardiothoracic Surgery, Tongji Hospital Affiliated to Tongji University, Shanghai 200065, China
  • Received:2019-11-26 Online:2019-12-28 Published:2020-09-14

摘要: 目的 探讨以运动为主的心脏康复对心肌炎引起顽固性室性心律失常的治疗效果。方法 报道同济大学附属同济医院心血管外科和昆山市锦溪人民医院心内科收治的心肌炎患者1例,频发室性心律失常,药物治疗无效,且出现Ⅱ度房室传导阻滞,伴黄疸、肝功能异常等药物损害,通过8年个性化指导,以心脏康复运动为主,药物辅助治疗顽固性心律失常,观察治疗效果。结果 通过心脏康复运动为主,药物辅助治疗,成功治愈顽固性心律失常。结论 以心脏康复运动为主,药物辅助治疗顽固性心律失常是安全可行的。

关键词: 心脏康复, 心肌炎, 室性心律失常

Abstract: Objective To investigate the efficacy of Exercise-based cardiac rehabilitation on refractory ventricular arrhythmia caused by myocarditis.Methods One patient with myocarditis was treated in the Department of Cardiothoracic Surgery, Tongji Hospital Affiliated to Tongji University and the Department of Cardiology, Kunshan Jinxi People’s Hospital.The patient had frequent ventricular arrhythmias, II atrioventrical block with jaundice and abnormal liver function.Treatment by drug failed.The patient received eight years of individual guidance on cardiac rehabilitation exercises in combination with drug.The treatment effect was observed.Results The patient with refractory ventricular arrhythmia were cured following above protocol.Conclusion It is safe and feasible to treat refractory ventricular arrhythmia by individual guidance on cardiac rehabilitation exercises in combination with drug.

Key words: Cardiac rehabilitation, Myocarditis, Ventricular arrhythmia

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