冠状动脉鼻腔切除在儿科患者与 supraventricular 节律失常症
Hacer Kamali1, H Candas Kafali2, Bahar Caran2
1Department of Pediatric Cardiology, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, University of Health Sciences, Bezirganbahce Street, Halkali, Istanbul, 34303, Turkey. hacerdr@hotmail.com.
概括
冠状动脉鼻切除是安全有效的儿科 supraventricular tachyarrhythmias,如沃尔夫-帕金森-怀特综合征. 这项研究在接受这些手术的儿科患者中没有发现并发症.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 电子生理学 电子生理学
- 通过心脏切除术 (Cardiac Ablation) 进行心脏切除.
背景情况:
- 冠状动脉内侧腔切除用于各种不律性基质.
- 在儿科患者中冠状动脉鼻切除的安全性和有效性需要进一步研究.
研究的目的:
- 评估儿科患者冠状动脉鼻腔切除术的安全性和疗效.
- 报告儿童心律不整的冠状动脉鼻切除的单中心经验.
主要方法:
- 对接受冠状动脉鼻切除的儿科患者的回顾性研究 (2013年10月 - 2021年10月).
- 收集了关于临床表现,心律失常类型,切除手术和结果的数据.
- 分析包括射频导管切除细节和并发症率.
主要成果:
- 包括27名儿科患者;沃尔夫-帕金森-怀特综合征 (WPW) 是最常见的 (69%).
- 在79%明显的AP病例中确定了高风险辅助通路 (APs);WPW APs对腺无反应.
- 射频导管切除,包括灌尖导管,在93%的病例中进行,没有观察到并发症.
结论:
- 冠状动脉鼻内的导管切除是一种有效和安全的治疗儿科 supraventricular tachyarrhythmias.
- 冠状动脉鼻分离器应考虑在患有后分泌AP和先前失败的废除患者.
相关概念视频
Disturbances in Heart Rhythm
977
Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
977
ECG Interpretation of Arrhythmias I: Sinus Arrhythmias
229
Arrhythmias are disturbances in the heart's rhythm that lead to abnormal heartbeats. These irregularities can originate from different parts of the heart and are classified based on their origin and nature.
Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism,...
Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism,...
229
Dysrhythmias VI: Management of Dysrhythmias
17
Dysrhythmia management involves a multifaceted approach, incorporating pharmacological treatments, medical procedures, surgical interventions, lifestyle modifications, and patient education.Pharmacological ManagementAntiarrhythmic Drugs:Class I (Sodium Channel Blockers): This class includes quinidine and procainamide, which reduce the speed of impulse conduction in the heart, stabilize the cardiac membrane, and control arrhythmias. Quinidine and procainamide are Class IA agents that prolong the...
17
Dysrhythmias IV: Characteristics of Bradyarrhythmias
7
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...
7
ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias
22
Arrhythmia is a condition characterized by an irregular heart rhythm, with ECG changes that differ based on its origin and nature. The types of arrhythmias discussed below include atrial, junctional, and ventricular arrhythmias.Atrial ArrhythmiasPremature Atrial Complexes (PACs): PACs are early atrial beats caused by stress, caffeine, alcohol, electrolyte imbalances, hypoxia, hyperthyroidism, or certain medications (e.g., bronchodilators and decongestants). The ECG shows early P waves with an...
22
Dysrhythmias II: Classification of Tachyarrhythmias
10
Tachyarrhythmias are a type of dysrhythmia where the heart rate exceeds 100 beats per minute. Here are some common types of tachyarrhythmias:Sinus TachycardiaSinus tachycardia originates from increased impulses from the sinus node, leading to an elevated heart rate. It is often triggered by stress, fever, or exercise.Patients may experience palpitations, a sensation of a racing heart, dizziness, and chest discomfort.Causes and Risk Factors: Common causes include physical exertion, emotional...
10


