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非心血管药物所致尖端扭转型室性心动过速的分类与处理
引用本文:袁景,丁仲如. 非心血管药物所致尖端扭转型室性心动过速的分类与处理[J]. 药学服务与研究, 2006, 6(6): 443-445
作者姓名:袁景  丁仲如
作者单位:1. 吉林省通化市中心医院心血管内科,通化,134000
2. 第二军医大学长海医院心血管内科,上海,200433
摘    要:目的:介绍引起QT间期延长及尖端扭转型室性心动过速(简称室速)的非心血管药物的种类和致病机制,以引起临床医生的重视。方法:对国内外相关文献进行综合、归纳。结果:许多非心血管药物可引起QT间期延长及尖端扭转型室速,包括抗微生物药、抗组胺药、三环类抗抑郁药、抗精神病药和胃肠动力药等。结论:了解导致这种较为罕见且严重的心带失常药物的种类及发病机制,对预防和正确治疗极为重要。

关 键 词:非心血管药物  心动过速,室性  药物副反应报告系统  综述
文章编号:1671-2838(2006)06-0443-03
收稿时间:2006-05-08
修稿时间:2006-10-28

Torsades de pointes induced by noncardiovascular drugs
YUAN Jing,DING Zhong-ru. Torsades de pointes induced by noncardiovascular drugs[J]. Pharmaceutical Care and Research, 2006, 6(6): 443-445
Authors:YUAN Jing  DING Zhong-ru
Affiliation:1. Department of Cardiovasology, Central Hospital of Tonghua, Tonghua 134000, China; 2. Department of Cardiovasololgy,Changhai Hospital, Second Military Medical University, Shanghai 200433, China
Abstract:Objective: To introduce the pathogenesis of QT prolongation and torsades de pointes(TDP) induced by noncar-diovascular drugs and the classes of the drugs. Methods: The newest related literature at home and abroad was collected and summarized. Results: Many noncardiovascular drugs could cause QT prolongation and TDP, including antimicrobials, antihis-tarainics, tricyclic antidepressants, antipsychotics and gastrointestinal kinetogenic drugs, etc. Conclusion: It is important to be aware of the classes of drugs causing TDP and their pathogenic mechanism, which may be helpful to make an appropriate treatment strategy.
Keywords:noncardiovascular drugs   tachycardia, ventrieular   adverse drug reaction reporting systems   review
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