6257rv7 发表于 2024-6-1 11:49:08

“阳”了总心慌是房颤吗？房颤病人“阳”了怎么办？你想晓得的都在这儿！


    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><a style="color: black;"><span style="color: black;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/UPbD4WqnZ4qzvT1Vy2VyGXepIIRbtoe7ATAgmby6fj7VucfJRN4PIE4BAuZAKUK0NibqHuh4DuSxsibgLb1fdKicg/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></a></p>点击进入专题<img src="https://mmbiz.qpic.cn/mmbiz_png/UPbD4WqnZ4pcPQYfNv7lBsg4Z2uTybXvib2ybr04AQtvqv5JO4BRhmGYAcqyOCRQ6ETB40MibSjuYG5Iw114XVyQ/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">友谊“心”视野-知识技能</span></strong></span>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">本栏目由首都医科大学<span style="color: black;">附庸</span>北京友谊医院心血管中心<strong style="color: blue;">李虹伟教授团队</strong>与中国医学论坛报合作推出。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2023年，友谊“心”视野全新改版，三大专题<span style="color: black;">上线！内容覆盖</span><span style="color: black;">心血管<span style="color: black;">行业</span>前沿<span style="color: black;">发展</span>、最新<span style="color: black;">科研</span>及指南<span style="color: black;">诠释</span>、临床实用知识技能</span>，将继续为<span style="color: black;">大众</span>分享<span style="color: black;">更加多</span>精彩内容。每月一期，欢迎<span style="color: black;">连续</span>关注。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">本期作者：</span><span style="color: black;">首都医科大学<span style="color: black;">附庸</span>北京友谊医院心内科 <strong style="color: blue;">梁拓 张鹤萍</strong></span></span></p>日前，家住天桥37岁的小崔感染新冠病毒十多天后，虽然早已<span style="color: black;">再也不</span>有发热、咳嗽等症状，但还总是觉得自己间断心慌难受，自己上网搜索觉得自己可能是“房颤”了，于是预约了我院的房颤门诊就诊<span style="color: black;">检测</span>。门诊<span style="color: black;">医生</span>对其进行了常规心电图和24 h动态心电图监测以及甲状腺功能等相关<span style="color: black;">检测</span>，结果提示窦性心动过速，化验结果<span style="color: black;">亦</span>均正常，<span style="color: black;">无</span><span style="color: black;">发掘</span>房颤的<span style="color: black;">关联</span>证据。今年65岁的刘阿姨，曾经<span style="color: black;">由于</span>房颤，在我院进行过房颤射频消融治疗，术后<span style="color: black;">定时</span>复查，<span style="color: black;">无</span>再<span style="color: black;">显现</span>过房颤复发。而她<span style="color: black;">近期</span><span style="color: black;">亦</span>是“阳”过后总觉间断心悸，家人不<span style="color: black;">安心</span>，<span style="color: black;">亦</span>给刘阿姨预约了房颤门诊的复查，好在结果<span style="color: black;">表示</span>一切正常，并<span style="color: black;">无</span>房颤复发，门诊<span style="color: black;">医生</span>为其<span style="color: black;">调节</span>口服<span style="color: black;">药品</span>后刘阿姨的心悸症状<span style="color: black;">显著</span>缓解。自从疫情乙类乙管<span style="color: black;">败兴</span>，像小崔和刘阿姨<span style="color: black;">这般</span>的<span style="color: black;">状况</span>屡见不鲜。<span style="color: black;">那样</span><span style="color: black;">到底</span>“阳”过以后什么样的症状会<span style="color: black;">思虑</span>房颤了，房颤<span style="color: black;">病人</span>“阳”了又该怎么办呢？<strong style="color: blue;">“阳”了心慌<span style="color: black;">便是</span>房颤吗？</strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">心房颤动（房颤）是临床上最<span style="color: black;">平常</span>的<span style="color: black;">心率</span>失常之一，中国房颤中心联盟最新<span style="color: black;">发布</span>的一项多中心流行病学<span style="color: black;">科研</span><span style="color: black;">表示</span>，我国成人房颤的总体患病率约1.6%<span style="color: black;"></span>，其发病率随年龄的<span style="color: black;">增多</span>呈<span style="color: black;">明显</span><span style="color: black;">升高</span>趋势，老年房颤的发病比例更高。有<span style="color: black;">科研</span><span style="color: black;">表示</span>，在＞80岁人群中，房颤的患病率在10%以上<span style="color: black;"></span>。<span style="color: black;">因此呢</span>当一例<span style="color: black;">病人</span>，尤其是老年<span style="color: black;">病人</span>因心悸就诊时，心内科<span style="color: black;">医生</span>都会<span style="color: black;">思虑</span>到房颤的可能性。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">捉捕</span>到房颤<span style="color: black;">爆发</span>的心电图是诊断房颤的硬性指标，简单用一个字归纳房颤<span style="color: black;">病人</span>的心电图<span style="color: black;">便是</span>“乱”，普通人看到这种心电图<span style="color: black;">亦</span>会觉得它毫<span style="color: black;">没</span>规律，不仅各个波形之间都<span style="color: black;">无</span>规律，<span style="color: black;">每一个</span>波形之间的间隔<span style="color: black;">亦</span>完全不规整（图1.正常心电图和房颤心电图），<span style="color: black;">倘若</span>用医学术语来形容，房颤心电图的表现<span style="color: black;">重点</span><span style="color: black;">包含</span>以下几点：</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">P波消失，代之以一系列快速、<span style="color: black;">体积</span>不等、形态各异的心房颤动波（f波）；</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">频率约为350~600次/分；</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">RR间期不规则。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">无</span>房颤<span style="color: black;">爆发</span>的心电图是<span style="color: black;">不可</span>确诊房颤的。</span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_gif/u4yIA03I5tPmPqeIh3icPxyiaNXMFuk4t9ciat4jsQuSgU19tvlJXcaSocPMXTvJ81F91a0MRWibCmtiaohBvPAaibEQ/640?tp=webp&amp;wxfrom=5&amp;wx_lazy=1" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_gif/u4yIA03I5tPmPqeIh3icPxyiaNXMFuk4t9ciat4jsQuSgU19tvlJXcaSocPMXTvJ81F91a0MRWibCmtiaohBvPAaibEQ/640?tp=webp&amp;wxfrom=5&amp;wx_lazy=1" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_gif/u4yIA03I5tPmPqeIh3icPxyiaNXMFuk4t9ciat4jsQuSgU19tvlJXcaSocPMXTvJ81F91a0MRWibCmtiaohBvPAaibEQ/640?tp=webp&amp;wxfrom=5&amp;wx_lazy=1" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/NFJOSUpfftboO2w3CQueJfU3km2u5NcKWiaGKhbPH7T0cg5mjGXPoZib26JiaJrIMZdz7YbnNxBQQnpqKJGJITGwA/640?tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">图1&nbsp; 正常心电图和房颤心电图</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">就<span style="color: black;">日前</span><span style="color: black;">咱们</span>房颤门诊接诊过的“阳”康<span style="color: black;">病人</span>而言，大部分<span style="color: black;">病人</span>，尤其是<span style="color: black;">青春</span><span style="color: black;">病人</span>，大<span style="color: black;">大都是</span>“窦性心动过速”。<span style="color: black;">所说</span>窦性心动过速，<span style="color: black;">咱们</span><span style="color: black;">必须</span>从两个部分来理解，<span style="color: black;">首要</span>这是一个“窦性<span style="color: black;">心率</span>”，<span style="color: black;">亦</span><span style="color: black;">便是</span>正常<span style="color: black;">心率</span>，其次这个<span style="color: black;">心率</span>是“过速”的，<span style="color: black;">亦</span><span style="color: black;">便是</span>偏快的。在右心房的上部有一处结构<span style="color: black;">叫作</span>为“窦房结”（图2.窦房结示意图），是人体正常心跳的起搏点，<span style="color: black;">因此呢</span>正常<span style="color: black;">心率</span>都<span style="color: black;">叫作</span>为“窦性<span style="color: black;">心率</span>”，教科书中定义的窦性<span style="color: black;">心率</span>频率为60~100次/分。<span style="color: black;">因此呢</span>心跳超过100次/分的窦性<span style="color: black;">心率</span>就会被<span style="color: black;">叫作</span>为“窦性心动过速”，反之则是“窦性心动过缓”。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_gif/u4yIA03I5tPmPqeIh3icPxyiaNXMFuk4t9ciat4jsQuSgU19tvlJXcaSocPMXTvJ81F91a0MRWibCmtiaohBvPAaibEQ/640?tp=webp&amp;wxfrom=5&amp;wx_lazy=1" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/NFJOSUpfftboO2w3CQueJfU3km2u5NcKqj03l3V8SemtWcrspcGQzpw0SVf23w4agPLicqIqhssKjfIwm3eO90A/640?tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">图2&nbsp; 窦房结示意图</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">心率高于标准定义的心率次数在人群中很<span style="color: black;">平常</span>。在不同的<span style="color: black;">科研</span>中，心率超过90~100次/分的百分比从2.1%到4.6%不等，且在不同的<span style="color: black;">科研</span>、人群、种族、性别、年龄中，窦性<span style="color: black;">心率</span>的正常频率并不是绝对的。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">那样</span>窦性心动过速（窦速）<span style="color: black;">必定</span>是有害的吗？其实<span style="color: black;">亦</span>不尽然。它<span style="color: black;">能够</span>是正常的、生理上有益的反应，是人体对生理和心理压力的反应，譬如<span style="color: black;">非常多</span>人在面试、发言、答辩时，<span style="color: black;">因为</span>肾上腺素的<span style="color: black;">海量</span>分泌，都是一个窦速的状态，只<span style="color: black;">不外</span>在当下的情境中不会过于关注<span style="color: black;">心率</span>罢了。</span><strong style="color: blue;"><span style="color: black;">窦速<span style="color: black;">亦</span><span style="color: black;">能够</span>是人体对多种<span style="color: black;">疾患</span>，<span style="color: black;">包含</span>非心脏系统<span style="color: black;">疾患</span>的适当反应，譬如贫血、感染、发热、低氧等，是一种非特异性的临床体征。</span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">针对</span>新冠感染而言，有<span style="color: black;">科研</span><span style="color: black;">表示</span>窦速可<span style="color: black;">出现</span>在存在<span style="color: black;">连续</span>的新冠症状（慢性新冠感染）<span style="color: black;">病人</span>中，可能是COVID-19急性感染后<span style="color: black;">副作用</span>不太特异的一部分。COVID-19<span style="color: black;">病人</span><span style="color: black;">显现</span><span style="color: black;">心率</span>失常的潜在机制<span style="color: black;">包含</span>病毒直接累及肺部组织<span style="color: black;">导致</span>的缺氧、心肌炎、宿主免疫反应<span style="color: black;">反常</span>、心肌缺血、心肌<span style="color: black;">损害</span>、电解质<span style="color: black;">错乱</span>、容量失衡以及<span style="color: black;">吃下</span>感冒药、退烧药等<span style="color: black;">药品</span><span style="color: black;">诱发</span>的副<span style="color: black;">功效</span><span style="color: black;"></span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">通常</span>来讲，在“阳”后<span style="color: black;">显现</span>心慌，尤其是青年人<span style="color: black;">显现</span>心慌时，应<span style="color: black;">思虑</span>到窦速的可能，可先<span style="color: black;">经过</span>自己触摸手腕部桡动脉搏动的<span style="color: black;">办法</span>，<span style="color: black;">倘若</span>心悸时心率虽快，<span style="color: black;">然则</span>心跳是整齐的、规整的，大概率<span style="color: black;">能够</span>排除是房颤的可能，<span style="color: black;">倘若</span><span style="color: black;">无</span>胸闷、胸痛、气促、喘憋、活动耐力下降等其他不适，<span style="color: black;">能够</span>先加强<span style="color: black;">休憩</span>，随诊观察。在治疗方面，有小规模临床<span style="color: black;">科研</span><span style="color: black;">表示</span>，<span style="color: black;">药品</span>对治疗新冠感染后心动过速的疗效尚不确定，但伊伐布雷定和β受体阻滞剂被认为可能是潜在的治疗<span style="color: black;">办法</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">然则</span>在急性COVID-19后的<span style="color: black;">病人</span>中，<span style="color: black;">必要</span>排除其他<span style="color: black;">导致</span><span style="color: black;">心率</span>失常的<span style="color: black;">原由</span>。<span style="color: black;">因为</span><span style="color: black;">日前</span>尚缺乏严格的流行病学调查结果，新冠病毒感染合并<span style="color: black;">心率</span>失常的<span style="color: black;">出现</span>率仍未<span style="color: black;">知道</span>，但已有的<span style="color: black;">科研</span>数据<span style="color: black;">显示</span>，新冠病毒感染<span style="color: black;">病人</span>有可能会<span style="color: black;">显现</span><span style="color: black;">心率</span>失常<span style="color: black;">或</span>原有<span style="color: black;">心率</span>失常症状加重。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">美国心脏病学会（ACC）<span style="color: black;">颁布</span>的一份临床报告<span style="color: black;">表示</span>，</span><strong style="color: blue;"><span style="color: black;">新型冠状病毒感染<span style="color: black;">病人</span>有16.7%合并有<span style="color: black;">心率</span>失常。</span></strong><span style="color: black;">中国医师协会<span style="color: black;">心率</span>学专业委员会组织专家制定的《新型冠状病毒肺炎合并<span style="color: black;">心率</span>失常的诊疗<span style="color: black;">方法</span>》中，专家分析COVID-19合并<span style="color: black;">心率</span>失常的可能机制与<strong style="color: blue;">低</strong></span><strong style="color: blue;"><span style="color: black;">氧血症直接<span style="color: black;">引起</span>的心肌<span style="color: black;">损害</span>或原有心血管<span style="color: black;">疾患</span>加重、COVID-19患者<span style="color: black;">身体</span>炎症因子的<span style="color: black;">功效</span>、血管紧张素转换酶2（ACE-2）产生的毒副<span style="color: black;">功效</span>、精神心理<span style="color: black;">原因</span>以及治疗COVID-19所<span style="color: black;">选择</span>的<span style="color: black;">药品</span>（如氯喹）<span style="color: black;">相关</span></span></strong><span style="color: black;"><span style="color: black;"></span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">因此呢</span><span style="color: black;">病人</span>和<span style="color: black;">大夫</span>都应<span style="color: black;">警觉</span>新冠感染时<span style="color: black;">心率</span>失常<span style="color: black;">疾患</span>的<span style="color: black;">爆发</span>或复发，<span style="color: black;">病人</span><span style="color: black;">即时</span><span style="color: black;">看病</span>，<span style="color: black;">大夫</span>应<span style="color: black;">按照</span><span style="color: black;">病人</span>的病情开具相应<span style="color: black;">检测</span>精确诊断并给予<span style="color: black;">恰当</span>的治疗<span style="color: black;">办法</span>（图3.新型冠状病毒肺炎合并<span style="color: black;">心率</span>失常的常规诊疗流程，摘自：新型冠状病毒肺炎合并<span style="color: black;">心率</span>失常的诊疗<span style="color: black;">意见</span>. 中华<span style="color: black;">心率</span>失常学杂志,2020,24(2):123-127.）。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_gif/u4yIA03I5tPmPqeIh3icPxyiaNXMFuk4t9ciat4jsQuSgU19tvlJXcaSocPMXTvJ81F91a0MRWibCmtiaohBvPAaibEQ/640?tp=webp&amp;wxfrom=5&amp;wx_lazy=1" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/NFJOSUpfftboO2w3CQueJfU3km2u5NcKxBt1SbeUXicVBpWMwweFXsoKH3c8q8nfQ2NdDwoMQhRWTnHYprnghibw/640?tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></p><strong style="color: blue;">除了小崔这种“阳”后心慌的窦速<span style="color: black;">病人</span>，真正的房颤<span style="color: black;">病人</span>应该<span style="color: black;">怎样</span><span style="color: black;">安稳</span>度过新冠感染这一关？新冠疫情<span style="color: black;">时期</span>房颤<span style="color: black;">病人</span>应该<span style="color: black;">怎样</span>应对？</strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">房颤<span style="color: black;">明显</span><span style="color: black;">增多</span>缺血性脑卒中、心力<span style="color: black;">衰尽</span>的<span style="color: black;">危害</span>，降低了<span style="color: black;">病人</span>的生活质量，严重<span style="color: black;">害处</span><span style="color: black;">病人</span>的健康，<span style="color: black;">日前</span>我国房颤的防治水平尚落后于<span style="color: black;">全世界</span>平均水平。不同于冠心病、心力<span style="color: black;">衰尽</span>等其他慢性心脏病，房颤<span style="color: black;">病人</span><span style="color: black;">因为</span><span style="color: black;">长时间</span>口服抗凝及抗<span style="color: black;">心率</span>失常<span style="color: black;">药品</span>，<span style="color: black;">必须</span><span style="color: black;">定时</span>抽血化验检测INR及完善心电图、24 h动态心电图等<span style="color: black;">检测</span><span style="color: black;">调节</span>口服<span style="color: black;">药品</span>，在疫情流行的大背景下，<span style="color: black;">病人</span>的复诊变得极不规律。除了就诊和调药不规律不<span style="color: black;">即时</span>外，<span style="color: black;">因为</span>病毒感染、紧张焦虑等<span style="color: black;">原由</span><span style="color: black;">诱发</span>的心悸不适等症状<span style="color: black;">亦</span>使得房颤<span style="color: black;">病人</span>的管理更为困难。</span></p><strong style="color: blue;"><span style="color: black;">1、</span>防患于未然，识别新冠疫情的高危人群</strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">房颤<span style="color: black;">病人</span>应更加<span style="color: black;">重视</span>预防新冠感染。房颤是最<span style="color: black;">平常</span>的<span style="color: black;">心率</span>失常之一，发病率高。<span style="color: black;">尤其</span>是老年人。这类人群应该知晓：房颤本身并不是新冠的易感<span style="color: black;">原因</span>，不要有过重的心理压力，保持一个健康愉悦的心情<span style="color: black;">针对</span>抵抗病毒<span style="color: black;">亦</span>有着积极的效果。<span style="color: black;">然则</span>房颤<span style="color: black;">病人</span><span style="color: black;">倘若</span><span style="color: black;">显现</span>心脏增大、心力<span style="color: black;">衰尽</span>，肺瘀血<span style="color: black;">或</span>是合并其他<span style="color: black;">基本</span><span style="color: black;">疾患</span>时，<span style="color: black;">病人</span>抵抗力差，就容易<span style="color: black;">出现</span>感染，是新冠的易感人群，并且感染以后<span style="color: black;">亦</span>容易发展为重症，这类<span style="color: black;">病人</span>是新冠防治中的重中之重。<span style="color: black;">没</span>论是在之前还是在常态化管理的今天，都<span style="color: black;">意见</span>这类<span style="color: black;">病人</span>严格做好<span style="color: black;">自己</span>防护，<span style="color: black;">保持</span>佩戴口罩，和他人接触时保持<span style="color: black;">必定</span>距离，<span style="color: black;">重视</span>室内通风消毒。这类<span style="color: black;">病人</span>的家属<span style="color: black;">亦</span>应该为了家人的生命和健康，<span style="color: black;">保持</span>做好<span style="color: black;">自己</span>健康的<span style="color: black;">第1</span>责任人。</span></p><strong style="color: blue;"><span style="color: black;">2、</span>新冠疫情<span style="color: black;">时期</span>，治疗房颤的<span style="color: black;">药品</span>不要<span style="color: black;">自动</span>随意<span style="color: black;">减少</span>或停用</strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">房颤<span style="color: black;">病人</span>常用的口服<span style="color: black;">药品</span><span style="color: black;">包含</span>三种：节律<span style="color: black;">掌控</span><span style="color: black;">药品</span>（胺碘酮、普罗帕酮等）、室率<span style="color: black;">掌控</span><span style="color: black;">药品</span>（美托洛尔、比索洛尔等）、抗凝<span style="color: black;">药品</span>（华法林、利伐沙班、艾多沙班、达比加群等）。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">合并其他心血管<span style="color: black;">疾患</span><span style="color: black;">尤其</span>是心力<span style="color: black;">衰尽</span>的房颤<span style="color: black;">病人</span>在疫情<span style="color: black;">时期</span>要严格按医嘱继续用药，听从专业<span style="color: black;">大夫</span>的<span style="color: black;">指点</span>，不要<span style="color: black;">自动</span><span style="color: black;">调节</span><span style="color: black;">药品</span>，<span style="color: black;">亦</span>不要听从其他<span style="color: black;">病友</span>或网上的<span style="color: black;">意见</span><span style="color: black;">自动</span>加减<span style="color: black;">药品</span><span style="color: black;">或</span>是停用，<span style="color: black;">由于</span><span style="color: black;">这般</span><span style="color: black;">能够</span>使房颤病情加重如心室率增快、血压<span style="color: black;">上升</span>，<span style="color: black;">乃至</span>有诱发心力<span style="color: black;">衰尽</span>的<span style="color: black;">危害</span>，<span style="color: black;">更易</span>感染新冠。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">停用抗凝<span style="color: black;">药品</span><span style="color: black;">亦</span><span style="color: black;">能够</span>诱发血栓并发症，而<span style="color: black;">科研</span><span style="color: black;">已然</span>证实新冠感染时会大大<span style="color: black;">增多</span>血栓形成的<span style="color: black;">危害</span>，新冠病毒<span style="color: black;">能够</span><span style="color: black;">经过</span>多种机制<span style="color: black;">引起</span>机体的凝血/纤溶系统功能<span style="color: black;">错乱</span><span style="color: black;">增多</span>血栓栓塞的<span style="color: black;">危害</span>，其中奥密克戎的红细胞聚集能力在所有变异株中是最强的，在这种<span style="color: black;">状况</span>下再停用或<span style="color: black;">减少</span>抗凝<span style="color: black;">药品</span>其结果可能危及生命。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">抗凝方面，疫情管理下<span style="color: black;">病人</span>的复诊不规律，口服华法林<span style="color: black;">病人</span><span style="color: black;">不可</span>规律监测INR，<span style="color: black;">因此呢</span><span style="color: black;">选取</span><span style="color: black;">没</span>须监测的口服抗凝药可能是更好的<span style="color: black;">选取</span>。房颤<span style="color: black;">病人</span>的用药是个体化的，不同的<span style="color: black;">病人</span><span style="color: black;">选择</span>的<span style="color: black;">药品</span>类型<span style="color: black;">或</span>剂量不<span style="color: black;">同样</span>。任何<span style="color: black;">药品</span>的<span style="color: black;">调节</span>都<span style="color: black;">意见</span>听从专业<span style="color: black;">大夫</span>的<span style="color: black;">指点</span>。</span></p><strong style="color: blue;"><span style="color: black;">3、</span>房颤<span style="color: black;">病人</span>感染新冠后发热易<span style="color: black;">引起</span>心率加快<span style="color: black;">怎样</span>处理？</strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">首要</span>应该<span style="color: black;">知道</span>体温<span style="color: black;">上升</span>时心率就会加快，这是人体一种正常的生理反应。房颤患者应该在<span style="color: black;">大夫</span>的<span style="color: black;">指点</span>下，适当的准备<span style="color: black;">有些</span>抗病毒药及退热<span style="color: black;">药品</span>。一旦新冠感染确诊，<span style="color: black;">倘若</span>符合应用抗病毒治疗指征，可在<span style="color: black;">大夫</span><span style="color: black;">指点</span>下<strong style="color: blue;">尽早地应用抗病毒<span style="color: black;">药品</span>以减少病毒复制，<span style="color: black;">同期</span>应用退热<span style="color: black;">药品</span>减轻症状</strong>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">倘若</span>有发热尤其是超过38.5℃的高热时，容易<span style="color: black;">引起</span>心率加快，心肌耗氧<span style="color: black;">增多</span>，诱发心力<span style="color: black;">衰尽</span>。<span style="color: black;">倘若</span>既往<span style="color: black;">已然</span>有心功能不全<span style="color: black;">处在</span>代偿期，发热可能<span style="color: black;">引起</span>失代偿，<span style="color: black;">引起</span>心衰的急性<span style="color: black;">爆发</span>，<span style="color: black;">因此</span><span style="color: black;">能够</span>应用退热的<span style="color: black;">药品</span>加用<span style="color: black;">理学</span>降温，尽快<span style="color: black;">掌控</span>发热，以减慢心率，减少心肌耗氧，让心脏得到<span style="color: black;">休憩</span>，防止心衰的<span style="color: black;">出现</span>或加重。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">另一</span>，<strong style="color: blue;">应适当<span style="color: black;">重视</span>饮水，防止发热、<span style="color: black;">摄食</span>进水减少<span style="color: black;">导致</span>的血容量不足。</strong>有<span style="color: black;">前提</span>者<span style="color: black;">能够</span>应用带刻度的量杯饮水，排尿时先<span style="color: black;">运用</span>带刻度的尿壶，再倒进马桶中，<span style="color: black;">自动</span>简单记录一下每日的饮水量和尿量，<span style="color: black;">重视</span>不要忘记估算除饮水外其他<span style="color: black;">食品</span>的含水量。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">定时</span>监测心率、血压，有<span style="color: black;">前提</span>的监测氧饱和度</span></strong><strong style="color: blue;"><span style="color: black;">。</span></strong><span style="color: black;"><span style="color: black;">然则</span>在口服抗凝药的人群中，<span style="color: black;">吃下</span>退热药须<span style="color: black;">小心</span>。退热<span style="color: black;">药品</span>多为非甾体类抗炎<span style="color: black;">药品</span>，<strong style="color: blue;">与华法林、利伐沙班等口服抗凝药<span style="color: black;">一起</span><span style="color: black;">吃下</span>时会<span style="color: black;">明显</span><span style="color: black;">增多</span>胃肠道<span style="color: black;">流血</span>的<span style="color: black;">危害</span></strong>。在<span style="color: black;">必要</span>合用时，应<strong style="color: blue;"><span style="color: black;">重视</span>监测胃肠道<span style="color: black;">流血</span>的迹象和症状</strong>，有<span style="color: black;">前提</span>的<span style="color: black;">病人</span><span style="color: black;">意见</span><span style="color: black;">定时</span>复查血红蛋白、便潜血、凝血功能、肾功能等指标，<span style="color: black;">针对</span>居家用药的<span style="color: black;">病人</span>，<span style="color: black;">能够</span><span style="color: black;">重视</span>监测有<span style="color: black;">没</span>腹痛、大便发黑等表现。</span></p><strong style="color: blue;"><span style="color: black;">4、</span>疫情<span style="color: black;">时期</span>，房颤<span style="color: black;">病人</span>感染新冠后什么<span style="color: black;">状况</span>下应去医院就诊？</strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">针对</span>房颤<span style="color: black;">病人</span>，<span style="color: black;">包含</span>接受射频消融术后的<span style="color: black;">病人</span>，<span style="color: black;">倘若</span><span style="color: black;">无</span>特殊不适，可<span style="color: black;">根据</span><span style="color: black;">平常</span>的医嘱继续用药治疗，特殊时期延后到<span style="color: black;">状况</span><span style="color: black;">准许</span>再复诊。<span style="color: black;">倘若</span>心悸症状<span style="color: black;">连续</span><span style="color: black;">爆发</span><span style="color: black;">或</span><span style="color: black;">爆发</span>频繁症状<span style="color: black;">显著</span>，必要时<span style="color: black;">意见</span>前往医院就诊，<span style="color: black;">即时</span><span style="color: black;">调节</span><span style="color: black;">药品</span>。房颤<span style="color: black;">病人</span>感染新冠以后，<span style="color: black;">倘若</span><span style="color: black;">显现</span>下列<span style="color: black;">状况</span>，提示病情重。应尽快去医院就诊：</span></p><strong style="color: blue;">1&nbsp;高热不退，应用退热的<span style="color: black;">药品</span>效果差，反复<span style="color: black;">爆发</span>高热</strong><strong style="color: blue;"><strong style="color: blue;">2&nbsp;咳嗽咳痰</strong></strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">房颤<span style="color: black;">病人</span>感染新冠以后<span style="color: black;">显现</span>咳嗽咳痰，尤其是黄黏痰提示可能<span style="color: black;">显现</span>肺部感染，<span style="color: black;">同期</span>合并细菌性肺炎或左心<span style="color: black;">衰尽</span>。咳痰<span style="color: black;">能够</span>为白色/黄色黏、<span style="color: black;">泡泡</span>痰，如<span style="color: black;">显现</span>粉红色<span style="color: black;">泡泡</span>痰，则提示可能<span style="color: black;">显现</span>急性左心<span style="color: black;">衰尽</span>。</p><strong style="color: blue;">3&nbsp;<strong style="color: blue;">胸闷加重、<span style="color: black;">呼气</span>困难</strong></strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">房颤<span style="color: black;">病人</span>感染新冠以后<span style="color: black;">能够</span>心率加快，诱发心力<span style="color: black;">衰尽</span><span style="color: black;">引起</span><span style="color: black;">呼气</span>困难。<span style="color: black;">倘若</span><span style="color: black;">呼气</span>困难随活动量的<span style="color: black;">增多</span>而加重，<span style="color: black;">或</span>是夜间平卧后<span style="color: black;">显现</span><span style="color: black;">呼气</span>困难，<span style="color: black;">睡觉</span>中憋醒，坐起减轻，更提示是左心<span style="color: black;">衰尽</span><span style="color: black;">引起</span>。<span style="color: black;">倘若</span><span style="color: black;">病人</span><span style="color: black;">显现</span>口唇紫绀，有<span style="color: black;">前提</span>的<span style="color: black;">能够</span>测氧饱和度，<span style="color: black;">倘若</span>氧饱和度下降<span style="color: black;">小于</span>95%，<span style="color: black;">尤其</span>是<span style="color: black;">小于</span>93%，应尽快去医院就诊。</span></p><strong style="color: blue;">4&nbsp;其他</strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">倘若</span><span style="color: black;">病人</span><span style="color: black;">显现</span>胸痛、<span style="color: black;">头昏</span>、眼前发黑、<span style="color: black;">认识</span><span style="color: black;">阻碍</span>，或<span style="color: black;">一边</span>肢体活动不灵<span style="color: black;">或</span><span style="color: black;">一边</span>肢体<span style="color: black;">病痛</span>等提示有心脏缺血或脑缺血或栓塞并发症，<span style="color: black;">亦</span>应尽快去医院就诊。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">5、</span>房颤<span style="color: black;">病人</span>联用paxlovid的<span style="color: black;">运用</span>说明</strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">Paxlovid（奈玛特韦-利托那韦片）是世卫组织<span style="color: black;">举荐</span>的新冠抗病毒口服<span style="color: black;">药品</span>，<span style="color: black;">亦</span>是<span style="color: black;">日前</span>我国最常用的COVID-19抗病毒<span style="color: black;">方法</span>之一。</span>2022年2月，中国药监局<span style="color: black;">根据</span><span style="color: black;">药物</span><span style="color: black;">尤其</span>审批程序，附<span style="color: black;">前提</span><span style="color: black;">准许</span>Paxlovid进口注册。2023年1月，我国新型冠状病毒感染诊疗<span style="color: black;">方法</span>（试行第十版）进一步<span style="color: black;">知道</span>了Paxlovid的适用人群为发病5天以内的轻、中型且伴有<span style="color: black;">发展</span>为重症高<span style="color: black;">危害</span><span style="color: black;">原因</span>的成年<span style="color: black;">病人</span>，<span style="color: black;">同期</span>对Paxlovid的应用<span style="color: black;">增多</span>了“<span style="color: black;">必须</span><span style="color: black;">重视</span>和其他<span style="color: black;">药品</span>相互的<span style="color: black;">功效</span>”的说明。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">那样</span>房颤常用的<span style="color: black;">药品</span>与Paxlovid之间有什么相互<span style="color: black;">功效</span>呢？<span style="color: black;">首要</span>是房颤<span style="color: black;">病人</span>常用的抗凝<span style="color: black;">药品</span>，因个体差异，Paxlovid可<span style="color: black;">增多</span>或降低华法林的血药浓度，<span style="color: black;">流血</span><span style="color: black;">或</span>缺血的<span style="color: black;">危害</span>均有可能存在。在两者<span style="color: black;">一起</span>应用<span style="color: black;">时期</span>，<span style="color: black;">重视</span>监测INR值并以此为<span style="color: black;">按照</span><span style="color: black;">调节</span>华法林的剂量。在<span style="color: black;">运用</span>达比加群、阿哌沙班时<span style="color: black;">一样</span><span style="color: black;">亦</span><span style="color: black;">必须</span><span style="color: black;">调节</span>剂量或暂停用药；<strong style="color: blue;">而利伐沙班则<span style="color: black;">不可</span>与Paxlovid<span style="color: black;">同期</span><span style="color: black;">运用</span></strong>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">在抗<span style="color: black;">心率</span>失常<span style="color: black;">药品</span>方面，<strong style="color: blue;">美托洛尔和索他洛尔与Paxlovid共用是安全的</strong>，而<span style="color: black;">吃下</span>Paxlovid时，<span style="color: black;">不可</span>用的抗<span style="color: black;">心率</span>失常药<span style="color: black;">包含</span>：<strong style="color: blue;">胺碘酮、多非利特、氟卡尼、决奈达隆、普罗帕酮、奎尼丁。</strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">详细</span><span style="color: black;">药品</span>可见下图：Paxlovid与<span style="color: black;">平常</span>心血管<span style="color: black;">药品</span>的相互<span style="color: black;">功效</span>及其<span style="color: black;">恰当</span><span style="color: black;">运用</span><span style="color: black;">举荐</span>，引自《广东省心血管<span style="color: black;">病人</span><span style="color: black;">运用</span>奈玛特韦/利托那韦片（Paxlovid）的药学指引》。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_gif/u4yIA03I5tPmPqeIh3icPxyiaNXMFuk4t9ciat4jsQuSgU19tvlJXcaSocPMXTvJ81F91a0MRWibCmtiaohBvPAaibEQ/640?tp=webp&amp;wxfrom=5&amp;wx_lazy=1" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/NFJOSUpfftboO2w3CQueJfU3km2u5NcKD0fibhgWkrzbTNFMYPDUUdG8Jqhz9yiaIYzOFKOSZ0iaybZvzrrEe8EPQ/640?tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/NFJOSUpfftboO2w3CQueJfU3km2u5NcKpPbkCpNb8w0Qe2Zeht5TWtGIiafUo6q4qSAroaOBTGFSLCZ3C6fZaNA/640?tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></p><strong style="color: blue;"><span style="color: black;">6、</span>房颤<span style="color: black;">病人</span>能否接种新冠疫苗？</strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">预防是最好的治疗，新冠疫苗接种仍然是预防新冠感染和预防重症的<span style="color: black;">要紧</span>手段之一。接种疫苗<span style="color: black;">能够</span><span style="color: black;">加强</span>对病毒的抵抗能力。新冠灭活疫苗说明书中提示：<strong style="color: blue;">慢性<span style="color: black;">疾患</span>的急性<span style="color: black;">爆发</span>期、严重的慢性<span style="color: black;">疾患</span><span style="color: black;">病人</span>慎用。</strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">房颤<span style="color: black;">病人</span><span style="color: black;">倘若</span>病情稳定，<span style="color: black;">包含</span>心率、血压都稳定，<span style="color: black;">无</span>心功能不全、肾功能不全加重；<span style="color: black;">无</span>高血压恶化是<span style="color: black;">能够</span>接种新冠疫苗的</strong>。<span style="color: black;">另一</span>需<span style="color: black;">重视</span><span style="color: black;">倘若</span>对新冠疫苗过敏或发热等存在常规不适宜接种情形的<span style="color: black;">病人</span>不<span style="color: black;">意见</span>接种新冠疫苗。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">总之，房颤是新冠感染<span style="color: black;">病人</span>最<span style="color: black;">平常</span>的合并<span style="color: black;">心率</span>失常类型之一。除窦速和房颤外，部分心悸<span style="color: black;">病人</span>还可能<span style="color: black;">出现</span>了心动过缓、房室传导阻滞、室性<span style="color: black;">心率</span>失常等<span style="color: black;">各样</span>类型。友谊医院房颤专病门诊（西城院区每周一下午）将为<span style="color: black;">大众</span><span style="color: black;">供给</span>问诊、咨询、复诊、调药等全方位服务，竭力<span style="color: black;">保证</span>疫情之下房颤<span style="color: black;">病人</span>的身心健康。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">参考文献：</p><img src="data:image/svg+xml,%3C%3Fxml version=1.0 encoding=UTF-8%3F%3E%3Csvg width=1px height=1px viewBox=0 0 1 1 version=1.1 xmlns=http://www.w3.org/2000/svg xmlns:xlink=http://www.w3.org/1999/xlink%3E%3Ctitle%3E%3C/title%3E%3Cg stroke=none stroke-width=1 fill=none fill-rule=evenodd fill-opacity=0%3E%3Cg transform=translate(-249.000000, -126.000000) fill=%23FFFFFF%3E%3Crect x=249 y=126 width=1 height=1%3E%3C/rect%3E%3C/g%3E%3C/g%3E%3C/svg%3E" style="width: 50%; margin-bottom: 20px;"><img src="data:image/svg+xml,%3C%3Fxml version=1.0 encoding=UTF-8%3F%3E%3Csvg width=1px height=1px viewBox=0 0 1 1 version=1.1 xmlns=http://www.w3.org/2000/svg xmlns:xlink=http://www.w3.org/1999/xlink%3E%3Ctitle%3E%3C/title%3E%3Cg stroke=none stroke-width=1 fill=none fill-rule=evenodd fill-opacity=0%3E%3Cg transform=translate(-249.000000, -126.000000) fill=%23FFFFFF%3E%3Crect x=249 y=126 width=1 height=1%3E%3C/rect%3E%3C/g%3E%3C/g%3E%3C/svg%3E" style="width: 50%; margin-bottom: 20px;"><strong style="color: blue;">END</strong><strong style="color: blue;">科室简介</strong><img src="data:image/svg+xml,%3C%3Fxml version=1.0 encoding=UTF-8%3F%3E%3Csvg width=1px height=1px viewBox=0 0 1 1 version=1.1 xmlns=http://www.w3.org/2000/svg xmlns:xlink=http://www.w3.org/1999/xlink%3E%3Ctitle%3E%3C/title%3E%3Cg stroke=none stroke-width=1 fill=none fill-rule=evenodd fill-opacity=0%3E%3Cg transform=translate(-249.000000, -126.000000) fill=%23FFFFFF%3E%3Crect x=249 y=126 width=1 height=1%3E%3C/rect%3E%3C/g%3E%3C/g%3E%3C/svg%3E" style="width: 50%; margin-bottom: 20px;">
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">李虹伟<span style="color: black;">专家</span></p><img src="data:image/svg+xml,%3C%3Fxml version=1.0 encoding=UTF-8%3F%3E%3Csvg width=1px height=1px viewBox=0 0 1 1 version=1.1 xmlns=http://www.w3.org/2000/svg xmlns:xlink=http://www.w3.org/1999/xlink%3E%3Ctitle%3E%3C/title%3E%3Cg stroke=none stroke-width=1 fill=none fill-rule=evenodd fill-opacity=0%3E%3Cg transform=translate(-249.000000, -126.000000) fill=%23FFFFFF%3E%3Crect x=249 y=126 width=1 height=1%3E%3C/rect%3E%3C/g%3E%3C/g%3E%3C/svg%3E" style="width: 50%; margin-bottom: 20px;">
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">首都医科大学<span style="color: black;">附庸</span>北京友谊医院<span style="color: black;">拥有</span>悠久的历史和优良的传统，1952年开展心血管内科临床诊疗工作。<span style="color: black;">日前</span>实施两院（西城院区+通州院区）一科的同质化管理模式。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">心血管中心由心内科、心外科、血管外科三个专业<span style="color: black;">构成</span>，床位总数209张。其中心内科共设有4个病区、3个CCU、2个导管室及多个辅助<span style="color: black;">检测</span>科室，床位总数141张。在李虹伟<span style="color: black;">专家</span>的领导下，近年来心内科蓬勃发展，年门诊量18.4万人次，年住院<span style="color: black;">病人</span>4800余例，年冠心病介入诊疗总数近3000例，器械<span style="color: black;">移植</span>加导管消融介入总数700余例。CCU每年收治千余例急性心肌梗死等<span style="color: black;">严重</span>症<span style="color: black;">病人</span>，在国内率先<span style="color: black;">创立</span>“急性心肌梗死绿色通道”365天×24小时开放。成功开展了经导管主动脉瓣置换术（TAVR）治疗主动脉瓣狭窄；经导管封堵术治疗先天性心脏病，如房间隔<span style="color: black;">缺失</span>、卵圆孔未闭<span style="color: black;">关联</span>性脑卒中或偏头痛、动脉导管未闭、肺动脉瓣狭窄球囊扩张术等；肥厚型梗阻性心肌病经导管消融术；以及针对卒中高<span style="color: black;">危害</span>且<span style="color: black;">流血</span>高<span style="color: black;">危害</span>或抗凝禁忌的房颤<span style="color: black;">病人</span>开展了左心耳封堵术。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">心内科<span style="color: black;">拥有</span>博士生导师3名，硕士生导师7名，培养毕业博士、硕士<span style="color: black;">科研</span>生250多人。承担国自然、北自然、省部级、215人才培养等多项<span style="color: black;">研究</span>项目。</span></p><span style="color: black;">中心有全国著名的心血管病专家顾复生、沈潞华教授为顾问，言传身教；中心<span style="color: black;">保持</span>“以病人为中心”的服务理念，以友谊医院院训“仁爱博精”为<span style="color: black;">基本</span>，全心全意为<span style="color: black;">病人</span>服务。经过几代心血管人的不懈<span style="color: black;">奋斗</span>，锐意进取，<span style="color: black;">已然</span>发展<span style="color: black;">作为</span>综合实力较强，专科<span style="color: black;">特殊</span><span style="color: black;">明显</span>，集医疗、<span style="color: black;">教育</span>、<span style="color: black;">研究</span>于一体，在心血管疑难重症病例治疗和<span style="color: black;">救治</span>方面<span style="color: black;">处在</span>国内先进水平的科室。</span>往期回顾#&nbsp;<a style="color: black;"><span style="color: black;">TAVR<span style="color: black;">行业</span>2022年新<span style="color: black;">发展</span></span></a>#&nbsp;<a style="color: black;"><span style="color: black;">迎接心力<span style="color: black;">衰尽</span>的灿烂春天 ——追寻逝去的心衰历史时光</span></a>#<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><a style="color: black;"><span style="color: black;">病人</span>心率偏慢，偶有室早，<span style="color: black;">能够</span><span style="color: black;">运用</span>β受体阻滞剂吗？适合用升心率的<span style="color: black;">药品</span>吗？</a></p><strong style="color: blue;"><span style="color: black;">更加多</span>精选内容</strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="data:image/svg+xml,%3C%3Fxml version=1.0 encoding=UTF-8%3F%3E%3Csvg width=1px height=1px viewBox=0 0 1 1 version=1.1 xmlns=http://www.w3.org/2000/svg xmlns:xlink=http://www.w3.org/1999/xlink%3E%3Ctitle%3E%3C/title%3E%3Cg stroke=none stroke-width=1 fill=none fill-rule=evenodd fill-opacity=0%3E%3Cg transform=translate(-249.000000, -126.000000) fill=%23FFFFFF%3E%3Crect x=249 y=126 width=1 height=1%3E%3C/rect%3E%3C/g%3E%3C/g%3E%3C/svg%3E" style="width: 50%; margin-bottom: 20px;"></p>




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