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相关概念视频

Disturbances in Heart Rhythm01:28

Disturbances in Heart Rhythm

961
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...
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Cardiovascular Drugs: Classification based on Therapeutic Indications01:18

Cardiovascular Drugs: Classification based on Therapeutic Indications

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Cardiovascular diseases, encompassing a range of conditions, can significantly affect the heart's operations and the overall circulatory system. These conditions impair the heart's ability to pump blood, leading to a deficit in oxygen supply to crucial organs. Anomalies in the heart's electrical system, known as arrhythmias, can cause heartbeats to accelerate or slow down. Usually, heart rates increase during physical activity and decrease while resting or sleeping. However,...
2.8K
Mechanism of Cardiac Arrhythmias01:28

Mechanism of Cardiac Arrhythmias

922
Arrhythmias are irregular heart rhythms occurring when the heart's electrical impulses become abnormal. These disturbances can lead to various symptoms, depending on their severity and the underlying cause. Some common factors contributing to arrhythmias include hypoxia, ischemia, electrolyte imbalances, excessive catecholamine exposure, drug toxicity, and muscle overstretching. Arrhythmias can be classified into two main types based on the rate and site of origin of abnormal heart rhythms.
922
Antiarrhythmic Drugs: Class IV Agents as Calcium Channel Blockers01:20

Antiarrhythmic Drugs: Class IV Agents as Calcium Channel Blockers

836
Class IV antiarrhythmic drugs, such as verapamil and diltiazem, block calcium channels. They primarily affect the heart, slowing the conduction in calcium-dependent tissues like the SA and AV nodes. These drugs manage reentrant supraventricular tachycardia (SVT) and reduce ventricular rate in atrial flutter/fibrillation.
Verapamil, a calcium channel blocker, inhibits calcium movement across myocardial cell membranes and vascular smooth muscle. This results in the dilation of coronary and...
836
Heart Valves01:16

Heart Valves

4.6K
The human heart is a complex organ with an intricate system of valves that regulate blood flow. There are two main types of valves: atrioventricular (AV) valves and semilunar valves.
The AV valves prevent the backflow of blood from the ventricles to the atria during ventricular contraction. These valves function with the assistance of the chordae tendineae and papillary muscles. When the ventricles are relaxed, the chordae tendineae are slack, allowing blood to flow from the atria into the...
4.6K
Imbalances in Cardiac Output01:26

Imbalances in Cardiac Output

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The heart's primary function is to pump blood throughout the body, maintaining a balance between blood sent out (cardiac output) and blood returning (venous return). If this balance is disrupted, it can result in congestive heart failure (CHF), a severe condition where the heart becomes an inefficient pump, leading to inadequate blood circulation.
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
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相关实验视频

Updated: Jul 5, 2025

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
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Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation

Published on: February 26, 2013

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心血管疾病:心房动和心房动.

Robert L Gauer1, Joel M Guess1

  • 1Internal Medicine Residency Program - Womack Army Medical Center at Fort Liberty, North Carolina.

FP essentials
|January 16, 2024
PubMed
概括

心房动 (AF) 和心房动 (AFL) 是常见的心律障碍. 导管切除为这两种情况提供了高的成功率,往往超过药物治疗AF的有效性.

科学领域:

  • 心脏病学 心脏病学
  • 电子生理学 电子生理学
  • 内部医学 内部医学

背景情况:

  • 心房动 (AF) 是成年人中最常见的持续心律失常,影响21-33%的人一生.
  • 危险因素包括年龄,高血压,糖尿病,睡眠呼吸暂停和高耐力运动.
  • 查建议各不相同,但移动监控设备有助于患者自我检测.

研究的目的:

  • 审查当前对心房动和心房的管理策略.
  • 与药物治疗相比,强调导管切除的疗效.
  • 讨论抗凝血指导方针和消融后的不确定性.

主要方法:

  • 对目前AF和AFL的指导方针和治疗结果的文献综述.
  • 对导管切除与药物治疗的成功率的分析.
  • 基于CHA2DS2-VASc分数的抗凝血方案的检查.

主要成果:

  • 导管切除在1-2次治疗后可以达到高达80%的AF免费率,优于药物治疗.
  • 通过导管切除治疗心房 (AFL) 的成功率超过90%.
  • 根据CHA2DS2-VASc分数,抗凝血对AF患者至关重要,特别是在手术周围.

更多相关视频

The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation
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The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation

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Estimating Bilateral Atrial Function by Cardiovascular Magnetic Resonance Feature Tracking in Patients with Paroxysmal Atrial Fibrillation
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Estimating Bilateral Atrial Function by Cardiovascular Magnetic Resonance Feature Tracking in Patients with Paroxysmal Atrial Fibrillation

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相关实验视频

Last Updated: Jul 5, 2025

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
28:13

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation

Published on: February 26, 2013

33.4K
The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation
23:33

The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation

Published on: February 28, 2012

83.6K
Estimating Bilateral Atrial Function by Cardiovascular Magnetic Resonance Feature Tracking in Patients with Paroxysmal Atrial Fibrillation
08:10

Estimating Bilateral Atrial Function by Cardiovascular Magnetic Resonance Feature Tracking in Patients with Paroxysmal Atrial Fibrillation

Published on: July 20, 2022

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结论:

  • 导管切除是一种高效的,日益成为AF和AFL的第一线治疗方法.
  • 抗凝药对AF患者中风预防至关重要.
  • 需要进一步研究成功切除后的长期抗凝药.