静脈動脈不整合と突然の心臓死
Roy M John1, Usha B Tedrow, Bruce A Koplan
1Department of Medicine, Division of Cardiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. rjohn2@partners.org
Lancet (London, England)
|October 30, 2012
まとめ
埋め込み式心房変動器 (ICD) は,心房不律を制御し,突然の心臓死を軽減します. カテーテル切除と抗不律薬は,症状をコントロールし,不律の頻度を軽減し,患者のアウトカムを改善するのに役立ちます.
科学分野:
- 心臓病学 心臓病学
- 電気生理学 電気生理学
背景:
- 静脈動脈不調は,突然の心臓死と症状の重症性のリスクを伴います.
- 現在の管理戦略では,リスクの階層化と治療的介入のバランスをとっています.
研究 の 目的:
- 静脈動脈不律症の現在の管理戦略を見直す.
- インプラント可能な心臓転換器除細動器,抗不律薬,カテーテル除去,外科手術の役割について議論する.
主な方法:
- 静脈動脈不全の管理に関する既存の文献のレビュー.
- 様々な治療方法の有効性と限界の分析.
主要な成果:
- 埋め込み式心房変動器 (ICD) は,突然死のリスクが高い患者にとって非常に重要です.
- 抗不律薬は主に症状性不律症を管理し,カテーテル切除は特定の患者の治療の可能性を提供します.
- 手術は,耐火性の症例に限られています.
結論:
- 遺伝学的理解,マッピング/アブレーション技術,およびデバイスアルゴリズムの進歩は,心室動脈不全の管理を強化します.
- デバイス,薬物,およびアブレーションを組み合わせた統合的アプローチは,患者のアウトカムを改善し,死亡率を低下させます.
関連する概念動画
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Disturbances in Heart Rhythm
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Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
Dysrhythmias II: Classification of Tachyarrhythmias
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ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias
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Dysrhythmias III: Characteristics of Dysrhythmias
Dysrhythmias, also known as arrhythmias, are irregular heart rhythms that result from abnormal electrical activity in the heart, affecting its ability to circulate blood efficiently. Tachyarrhythmias, a subset of dysrhythmias, are characterized by abnormally fast heart rates exceeding 100 beats per minute. Here are some types of tachyarrhythmias with their distinct ECG features:Sinus Tachycardia:Sinus tachycardia presents a regular heart rhythm with an increased rate of 101-180 beats per minute.
Dysrhythmias IV: Characteristics of Bradyarrhythmias
Bradyarrhythmias are cardiac rhythm disorders characterized by a slower-than-normal heart rate, typically defined as fewer than 60 beats per minute. Some of which are discussed here:Sinus BradycardiaSinus bradycardia presents a heart rate lower than 60 beats per minute, with a regular rhythm originating from the SA node. The ECG typically shows normal P waves preceding each QRS complex, a normal PR interval (0.12 to 0.20 seconds), and a normal QRS duration (0.06 to 0.10 seconds).First-Degree AV...

