文章摘要

心肌梗死后交感神经激活致室性心律失常机制的研究进展

作者: 1岳英芳, 1张瑞英
1 哈尔滨医科大学附属第一医院内科危重症科,哈尔滨 150001
通讯: 张瑞英 Email: zhangruiyingha@126.com
DOI: 10.3978/j.issn.2095-6959.2021.07.035
基金: 哈尔滨市科技创新人才基金(2017RAXXJ064)。

摘要

心肌梗死后室性心律失常是在临床病例中导致此种心脏病患者猝死的主要原因之一。因此,为降低猝死率,缺血诱导心律失常的病理机制引起广泛关注。交感神经过度激活促使神经对心肌活动支配的不均一性,导致心脏电传导紊乱,是心律失常发生和维持的重要机制,抑制交感神经过度激活可有效防止室性心律失常的发生。
关键词: 心肌梗死;室性心律失常;交感神经激活

Research progress on the mechanism of ventricular arrhythmia caused by sympathetic nerve activation after myocardial infarction

Authors: 1YUE Yingfang, 1ZHANG Ruiying
1 Department of Internal Medical Critical Care Unit, First Affiliated Hospital of Harbin Medical University, Harbin 150001, China

CorrespondingAuthor: ZHANG Ruiying Email: zhangruiyingha@126.com

DOI: 10.3978/j.issn.2095-6959.2021.07.035

Foundation: This work was supported by Harbin Science and Technology Innovation Talent Fund, China (2017RAXXJ064).

Abstract

Ventricular arrhythmia after myocardial infarction is one of the main causes of sudden death in patients with this heart disease in clinical cases. Therefore, in-depth researches on the mechanism of ischemia-induced arrhythmia in order to reduce the rate of sudden death have attracted widespread attention. Excessive activation of sympathetic nerves leads to uneven innervation of the myocardium and further results in cardiac electrical conduction disorder, which present an important mechanism for the occurrence and maintenance of arrhythmia. Additionally, targetd intervention performed in them can effectively prevent the occurrence of ventricular arrhythmia.
Keywords: myocardial infarction; ventricular arrhythmia; sympathetic nerve activation

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