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TUhjnbcbe - 2021/7/9 20:51:00
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英文原文:

ClassIProarrhythmia

ClassICdrugsarefrequentlyusedinpatientswithatrialfibrillation(AF).TheslowingofconductioninAFcanresultindevelopmentofatrialflutterwithaveryslowfluttercyclelength.Thismayresultinrarecasesin1:1atrioventricularconductionwithfastventricularratesattobpm(seeFigure18.3B).Inmanycases,fastventricularratemaybeassociatedwithmarkedQRSprolongationduetouse-dependentenhancedblockadeoffastsodiumchannelsandfurtherconductionslowing.WideQRStachycardiathuscanmimicventriculartachycardia(VT).Similarly,enhancedslowingofconductionduringsinustachycardiainpatientsreceivingflecainidehasbeenshowntobeassociatedwithdevelopmentofmonomorphicVT.Thiskindofproarrhythmiaismuchmore

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