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Nasopharyngeal decongestants: atrial fibrillation

机译:鼻咽肌鼻咽癌:心房颤动

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摘要

Nasopharyngeal decongestants are sym-pathomimetic vasoconstrictors.They can provoke cardiovascular events, including stroke and myocardial infarction (1).A German team has reported a striking case of a 60-year-old woman who felt that her heart rhythm had been irregular for 5 days (2). She was diagnosed with atrial fibrillation and cardioversion was performed, with resumption of sinus rhythm. Atrial fibrillation recurred 10 days later. She had been using a decongestant containing the imidazoline derivative tramazoline 5 times a day by nasal application for several years. Cardioversion was repeated and the decongestant discontinued, and she had no further recurrences of atrial fibrillation in 6 months of follow-up.
机译:鼻咽减充血剂是sym病理模拟血管收缩剂。它们会引发心血管事件,包括中风和心肌梗死(1)。一个德国团队报告了一个惊人的病例,一名60岁的女性感到自己的心律已经不规则了5天(2)。她被诊断为房颤,进行了复律,恢复了窦性心律。10天后房颤复发。几年来,她每天5次通过鼻腔应用含咪唑啉衍生物曲马唑啉的减充血剂。重复心脏复律,停止使用减充血剂,在6个月的随访中,她没有房颤复发。

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    《Prescrire international》 |2017年第183期|共1页
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  • 正文语种 eng
  • 中图分类 药学;
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