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患有先天性心脏病的患者心律失常:一种持续的发病率
Despoina Ntiloudi1,2, Spyridon Rammos3, Maria Karakosta1,2
1Department of Cardiology, Tzaneio General Hospital of Piraeus, 185 36 Piraeus, Greece.
Journal of clinical medicine
|November 25, 2023
概括
随着先天性心脏病 (CHD) 患者的年龄增长,心房动等心律失常变得越来越常见. 目前的管理重点是并发症,药物和切除,正在进行心室心律失常和心脏阻塞治疗的研究.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 随着先天性心脏病 (CHD) 患者人口的老龄化,心律失常的负担越来越高,这给患者带来了越来越大的挑战.
- 心房失常,特别是心房内回流性心动减速和心房动,是这个队列中最常见的心脏节律障碍.
研究的目的:
- 审查有关心律失常管理策略的当前知识,在患有心脏病的成年患者.
- 讨论未来的方向和未解决的问题,在心脏病患者的护理经历心律失常.
主要方法:
- 对当前的指导方针和关于心律失常的研究进行了全面的文献综述.
- 对心房和心室心律失常和心脏阻塞的药物治疗,切除和设备治疗的分析.
- 在心脏病心律失常的背景下,讨论对诸如肥胖等并发症的管理.
主要成果:
- 大心律不整的发病率很高,治疗策略包括药物治疗和切除.
- 腹腔动脉障发生,但使用可植入心脏转换器除器的初级预防指导方针是有限的,除了像Fallot四心症这样的特定条件外.
- 由于心脏病的解剖学或手术干预,心房塞也被观察到.
结论:
- 在老年慢性心脏病患者中有效管理心律失常需要采取多方面的方法,包括治疗并发病症,药物治疗和干预程序.
- 需要进一步的研究,以建立设备治疗的明确指导方针,特别是植入式心脏转心器除器,用于大多数心脏病患者的腹腔心律不整的初级预防.
- 了解和解决慢性心脏病中不断变化的心律失常现象对于改善患者长期治疗结果至关重要.
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