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| Effect of synchronous electric cardioversion in the treatment of pre-hospital sudden ventricular tachycardia with hemodynamic instability |
| TAO Jinzhe |
| North District Branch, Beijing Emergency Medical Center, Beijing 100031, China |
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Abstract Objective To study the application effect of synchronous electric cardioversion in patients with sudden ventricular tachycardia with hemodynamic instability in the pre-hospital emergency scene. Methods A total of 82 patients with sudden ventricular tachycardia with hemodynamic instability at the first scene of pre-hospital emergency treatment by emergency personnel of North District Branch, Beijing Emergency Medical Center from May 2005 to May 2019 were selected as the research objects. According to the different treatment methods adopted on the scene, the patients were divided into the drug group (42 patients) and the electric cardioversion group (40 patients). The drug group was given conventional drug treatment, the electric cardioversion group was given synchronous electric cardioversion treatment. The effect of cardioversion, the incidence of adverse reactions and the time of on-site treatment were compared between the two groups. Results There were no statistically significant differences in the success rate of cardioversion and the total incidence of adverse reactions between the two groups (P ＞ 0.05). However, the time of cardioversion in the electric cardioversion group was lower than that in the drug group, and the difference was statistically significant (P ＜ 0.05). Conclusion In the pre-hospital emergency scene, synchronous electric cardioversion is used to treat patients with sudden ventricular tachycardia with hemodynamic instability. Treatment time is short, the effect of cardioversion is immediate, and it can quickly prevent the deterioration of the condition.
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