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关于提供者和机构最佳实践的HRS/ISACHD/PACES科学声明,用于全面的成人先天性心脏病电生理学计划
Paul Khairy1, Susan P Etheridge2, John Jairo Araujo3
1Electrophysiology Service and Adult Congenital Center, Montreal Heart Institute, Université de Montréal, Montreal, Canada.
Heart rhythm
|February 12, 2026
概括
患有先天性心脏病 (ACHD) 的成年人面临着不断增加的心律失常风险. 这份声明确立了ACHD电生理学作为一个子专业,定义了全面护理和培训的最佳实践,以改善结果.
科学领域:
- 心脏病学 心脏病学
- 电力生理学 电力生理学
- 成年人的先天性心脏病
背景情况:
- 全球患有先天性心脏病 (ACHD) 的成年人数现在超过了儿童.
- 心律失常是这个老龄化人口中致病,住院和死亡的主要原因.
- ACHD心律失常机制是复杂的,源于先天性缺陷,手术改变和获得的风险因素.
研究的目的:
- 定义全面的ACHD电生理学计划的最佳实践.
- 建立ACHD电生理学作为一个独特的子专业.
- 为ACHD电生理学护理提出一个基于能力的框架.
主要方法:
- 领先的专业协会 (HRS,PACES,ISACHD) 的联合声明.
- 在五个关键领域开发基于能力的框架.
- 概述了程序前评估,程序规划和程序前/后管理的要求.
- 对人员,设施和基础设施的机构要求的规范.
主要成果:
- 确立了ACHD电生理学作为一个独特的子专业.
- 提出了一个能力框架,涵盖解剖学,心律失常机制,评估,程序和纵向护理.
- 定义了提供者和中心级护理的最佳实践.
- 建议候选人对疗效,安全性,结果和患者报告状态的绩效指标.
结论:
- 这些建议旨在标准化和改进ACHD心律失常治疗.
- 促进区域卓越中心的发展和协调的培训.
- 旨在确保对患有先天性心脏病和心律失常的成年人提供安全,有效和公平的护理.
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