探讨心脏交感性神作为复发性心室节律失常的治疗方法:简要的回顾
Andrei Gurau1, Frank Bosmans2, Andreas Barth3
1Division of Thoracic Surgery, Johns Hopkins University School of Medicine, Baltimore, USA.
双边心脏交感性缩 (BCSD) 对耐火性心室节律失常 (RVT) 是有前途的,可显著减少除器冲击并改善生存率. 需要进一步的研究来确认长期的好处和风险.
科学领域:
- 心脏病学 心脏病学
- 神经调节是一种神经调节.
- 胸部外科手术 胸部外科手术
背景情况:
- 耐火性心室动脉节律失常症 (RVT) 带来了重大挑战,特别是在患有通道病变和心肌病变的患者中.
- 交感神经系统在RVT的病理生理学中发挥着关键作用.
- 手术性心脏交感性缩 (CSD) 已经发展成为治疗不治心室心律失常的治疗选择.
研究的目的:
- 审查同情神经系统在RVT中的病理生理作用.
- 通过文献综述,评估双边心脏交感缩 (BCSD) 对RVT的疗效.
主要方法:
- 关于耐火性心室动脉节律失常症 (RVT) 的心脏交感缩 (CSD) 研究的文献综述.
- 与双边CSD (BCSD) 和左边CSD (LCSD) 相关的结果分析.
- 包括视频辅助胸腔镜手术 (VATS) 和机器人辅助胸腔镜手术 (RATS) 等手术方法的数据.
主要成果:
- BCSD与可植入心脏转换器除器冲击的显著减少有关 (约. 60%) 和改善1年的无休克和无移植生存率 (超过50%).
- 2017年AHA/ACC/HRS指南建议LCSD用于特定的RVT病因,如先天性长QT综合征和CPVT.
- 机器人辅助胸腔镜手术 (RATS) 与BCSD的VATS相比,提供更短的操作时间.
结论:
- BCSD显示出改善严重RVT患者生活质量的潜力,但必须考虑风险.
- 需要进一步进行有效性和成本效益的比较研究.
- 对BCSD对发病率和死亡率的长期影响需要进一步调查.
更多相关视频
06:40Impact of Intracardiac Neurons on Cardiac Electrophysiology and Arrhythmogenesis in an Ex Vivo Langendorff System
Published on: May 22, 2018
12:15Tissue Preparation Techniques for Contrast-Enhanced Micro Computed Tomography Imaging of Large Mammalian Cardiac Models with Chronic Disease
Published on: February 8, 2022
相关概念视频
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
Mechanism of Cardiac Arrhythmias
Disturbances in Heart Rhythm
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
ECG Interpretation of Arrhythmias I: Sinus Arrhythmias
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,...
Antiarrhythmic Drugs: Class II Agents as β-Adrenergic Blockers
Cardiac Action Potential
The cardiac action potential process involves a series of phases characterized by the movement of ions across the cardiac cell membranes, leading to the depolarization and repolarization of the cardiac myocytes.
Ionic Basis of Cardiac Action Potentials
