室腔失常症的连续星状质块:病例系列,系统综述和与胸部外周麻醉的差异
Veronica Dusi1,2, Filippo Angelini2, Enrico Baldi3
1Cardiology, Department of Medical Sciences, University of Turin, Corso Dogliotti 14, 10126 Torino, Italy.
连续星状关节阻塞 (C-PSGB) 是对耐火性心室失常症 (VAs) 的安全有效治疗方法. 这种方法提供了较低的断药率和较少的担忧,与胸部外周麻醉相比,抗凝血.
科学领域:
- 心脏病学 心脏病学
- 麻醉学 麻醉学
- 电子生理学 电子生理学
背景情况:
- 耐火性心室节律失常 (VAs) 是一个重大的临床挑战.
- 针对急性VA管理,建议采用皮肤穿透的星状质块 (PSGB) 和胸部外周麻醉 (TEA).
- 关于连续PSGB (C-PSGB) 的数据有限.
研究的目的:
- 报告对耐火VA的C-PSGB的双中心经验.
- 进行系统审查,比较C-PSGB和TEA.
- 评估C-PSGB的可行性,安全性和有效性.
主要方法:
- 在接受C-PSGB.患者的回顾性病例系列.
- 按照PRISMA指南进行系统的文献审查.
- 在患者特征,药物使用和结果方面,C-PSGB和TEA的比较.
主要成果:
- 在26名晚期结构性心脏病患者中,C-PSGB证明了可行性和安全性.
- 在59%的C-PSGB病例和63%的C-PSGB病例中观察到完全的VA抑制.
- 在C-PSGB中,停药率较低 (1%对TEA的18%) 和对抗凝血的担忧较少.
结论:
- 连续PSGB似乎是可行的,安全和有效的,用于急性管理耐火性VA.
- 与TEA相比,C-PSGB提供了一种抗心律失常的效果,副作用较少,对抗凝血具有更大的灵活性.
- 进一步的研究可能会支持C-PSGB作为一种有价值的治疗选择.
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