频发室性早搏_百度知道
频发室性早搏
风湿性心脏病等心脏病吗公务员查出频发性室性早搏，合格，不合格，排除心脏病理性改变、冠心病、先天性心脏病；
（四）心电图有异常的其他情况；
（三）心率每分钟5O－60次或100－110次。不要大段粘贴网上的原话，会影响录取吗公务员关于心脏病的规则如下；
（二）每分钟少于6次的偶发期前收缩（有心肌炎史者从严掌握）、心肌病、冠心病、心肌病：
（一）心脏听诊有生理性杂音，合格、克山病等器质性心脏病.。
遇有下列情况之一的：第一条
风湿性心脏病。先天性心脏病不需手术者或经手术治愈者如果有频发性室性早搏，就一定会有高血压
报考的是公安岗位，是不是要求更严？
提问者采纳
建议患者具体结合下自身的早搏数量考虑下.，高血压病，患者的描述频发室性早搏，因此你好，是可以通过体检的，冠心病，目前一般低于一分钟5次的早搏是并没有什么问题的，先天性心脏病等是可能引起室性早搏的、风湿性心脏病、心肌病
有一部分人，即便没有啥特殊疾病也会出现心律失常，前提是确实排除各种大的心脏疾病。 你这种情况如果没有出现症状，你可以暂时不特殊处理，也不需要过分紧张，继续口服稳心颗粒和倍他乐克是正确的。 需要解释的是，不要希望药物把你的室性早搏治好，没有症状的话我们医生不会建议你口服太多药物，要知道抗心律失常的药物往往也会诱发心律失常。还有注意良...
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已为1547名网友解答了健康方面的困惑
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我们主治的疾病及擅长的技术（三联通痹养心疗法治疗心血管疾病）
心血管内科：||||||
心脏外科：|||
相关症状：||||||||请问这样的频发室性早搏严重吗，到了什么程度？_百度知道
请问这样的频发室性早搏严重吗，到了什么程度？
平常情况，结果如下，加速的室性自主心律477阵次，短阵室速515阵次；2、跑步正常；7；3、偶发房性早搏1次，心跳快：1；干体力活。听说好像很严重的、脉搏，其中成对室早1052次、频发室性早搏10980次，26岁、窦性心律、血样检查正常、8年前曾检查出心律不齐；现在血压；晚上或上午有时感觉心慌：男不久前我在医院做了一次24小时动态心电图
提问者采纳
贫血，思想上十分紧张与恐惧，如发热、喝浓茶时均可发生早搏、饮酒。正常人在过劳，不要掉以轻心。病理性早搏也不少见。所以建议不要紧张，这样反而促使早搏增多。有些健康者出现几个早搏后。无论何种情况，对发生者作全面深入的检查、低血钾，也可在休息或卧床睡眠时发生。它是在各种器质性心脏病或其它病理情况下、甲状腺功能亢进，也不至于造成严重后果、焦虑不安时、高血压、紧张，功能性即生理性早搏甚为常见。临床上，这种早搏出现是心肌缺血与损伤的一个重要信号；高血压性心脏病人的早搏常与心室肌肥大及劳损有关，甚至心室颤动而猝死频发室性早搏可发展为室性心动过速。可以说、严重缺氧或某些药物中毒时发生的。祝健康。如果无严重心脏病。例如冠心病心肌梗塞病人发生早搏常提示有严重心肌缺血、喝咖啡，或在大量吸烟，也无任何心脏病证据可见、风湿活动！；风心病病人的早搏常提示心功能不全，积极治疗即可；这种功能性早搏在诱发原因去除后即可消失、激动，即使早搏频发
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频发室性早搏要重视 治疗需先分型
来源：内容均来自网络
发布时间： 09:34:14
室性早搏又称室性期前收缩，是最常见的心律失常，常见于冠心病、心肌病及二尖瓣脱垂病人，在无心脏疾病的人群中也可发生。临床症状也有很大的变异性，从无症状，轻微心悸不适，到早搏触发恶性室性心律失常晕厥甚至猝死。
频发室早时患者最常见的症状是心悸，原因是早搏后心搏增强和代偿间歇引起的。室早发作频繁时可导致患者心排血量明显下降，患者会头晕。室早长时 间频繁发作，可引起心功能下降，严重者引起心力衰竭。严重心脏病也会引起频发性室性早搏。因此对频发室性早搏的危害性应给予足够重视，千万不要麻痹大意。
1、无器质性心脏病伴室性早搏
此类室早一般是功能性的，只要控制消除诱因配以适当的治疗预后效果好。患者无须担心忧虑，没有症状的可以不用治疗，症状较重者首先消除诱因，配以 -受体阻滞剂缓解症状，最好不使用抗心律失常药，会影响预后回复。对于频发的伴有严重不适的室早，可考虑射频导管消融。
2、合并心功能不全的室性早搏
心衰病人如果不重视室早的治疗，会威胁到患者的生命。首先必须纠正引起室早的潜在因素，改善缺氧、纠正电解质紊乱等，没有明显心衰症状室早者可 以采用 -受体阻滞剂;而对于频发的单行性室早，在心功能允许的情况下可尝试射频导管消融。螺内酯、利尿剂、ACEI、ARB等都是比较好的治疗室早的药 物。
3、合并冠心病的室性早搏
冠心病室早要分两种情况，一种是急性心肌缺血时的室早，此种情况比较危急，另一种是陈旧性心肌梗死室早。
急性心肌缺血的室早，必须立刻采取相应措施缓解心肌缺血和电解质紊乱，可适当采用 -受体阻滞剂降低交感兴奋性，降低触发致命性心律失常的发生率。
陈旧性心肌梗死室早的治疗与否要看是否出现症状，无症状者一般无需治疗，如果心梗后室早频繁发生或连发，并且EF值明显下降，一定要及时采取干 预治疗，否则会有猝死的风险，可采用 -受体阻滞剂和胺碘酮等抗心律失常药物以及ACEI、ARB等抗心律失常上游的药物。药物治疗无效的可采用射频导管 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