在心律失常性心脏病中的导管切除:内心和心上切除:内心和心上切除
Wen-Han Cheng1,2,3, Fa-Po Chung1,2, Yenn-Jiang Lin1,2
1Heart Rhythm Center and Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, 11217 Taipei, Taiwan.
节律失调性心肌病 (ACM) 在治疗心室动脉障碍 (VT) 方面存在挑战. 结合内心和上心除提供了一个有前途的策略,用于管理各种ACM类型的静脉瘤.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 遗传学 遗传学 是一个
背景情况:
- 节律失调性心肌病 (ACM) 涵盖了与缺血性,高血压性或膜性心脏病不同的心肌疾病.
- 与扩张性心肌病的临床重叠使ACM诊断复杂化,腹腔动脉动脉 (VT) 常常出现在早期.
- 在ACM中管理复发性静脉瘤是具有挑战性的,因为抗失常药物 (AAD) 疗效和副作用的变化.
研究的目的:
- 为各种ACM类型提供基质特征,废弃策略和结果的全面概述.
- 突出结合内心脏和上心脏切除术在ACM中成功管理静脉瘤的临床重要性.
- 审查导管切除在特定ACM的疗效,如ARVC,沙尔科毒性,查加斯心肌病和布鲁加达综合征.
主要方法:
- 对不同ACM亚型的静脉瘤导管切除现有文献的综述.
- 对基质特征的分析,包括心表参与,在心律失常.
- 内心脏与结合内心脏和上心脏切除策略的比较.
主要成果:
- 导管切除在ARVC中对静脉瘤是有效的,沙科毒性,查加斯心肌病和BrS.
- 在几种ACM中,心基质有助于静脉瘤,因此需要结合式切除方法.
- 病例报告表明,在较罕见的ACM中,如粉样化和左心室非紧缩症中,除疗法具有潜在的效用.
结论:
- 结合内心脏和上心脏切除对于处理与ACM相关的静脉瘤中上心脏基质至关重要.
- 基于基质映射的定制废弃策略对于优化各种ACM的结果至关重要.
- 需要进行进一步的研究,以完善较不常见的ACM表现的废弃技术.
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