伊布利特转复老年心房颤动出现长R-R间歇  

Long R-R interval occurring in an elderly patient receining ibutilide for cardioversion of atrial fibrillation

作　　者：武云涛[1] 陈艳梅[1] 曹晶晶[1] 白旭鹏[2] 吕明芳[2] 

机构地区：[1]北京军区总医院干一科,北京100700 [2]山西医科大学研究生院,太原030001

出　　处：《药物不良反应杂志》2010年第4期280-281,共2页Adverse Drug Reactions Journal

摘　　要：1例77岁男性患者,给予伊布利特1mg溶于0.9%氯化钠注射液50mL中缓慢静脉推注以转复心房颤动。给药16min后转为窦性心律,但转复过程中患者出现十余次窦性停搏,最长R-R间歇4.872s。患者无头晕、头痛、胸痛、胸闷等症状。转复成功后,患者继续服用普罗帕酮、美托洛尔、华法林等药物,无任何不适。A 77-year-old male patient received a slowly IV push of ibutilide 1 mg dissolved in 50 mL of 0.9% sodium chloride for his atrial fibrillation（AF） conversion. After sixteen minutes,AF was converted to sinus rhythm. But he experienced 10 episodes of sinus arrest with the longest R-R interval of 4.872 seconds. The patient did not have dizziness,headache,chest pain,chest discomfort. After AF was successfully converted,the patient continued to take propafenone,metoprol,warfarin without any discomforts.

关 键 词：伊布利特 转复 心房颤动 不良反应 窦性停搏 

分 类 号：R541.7[医药卫生—心血管疾病]