[1]李才垚 王洪涛 秦兴华 刘鹏 郑强荪.心肌梗死后室性心动过速导管消融适应证在指南共识中的演变[J].心血管病学进展,2021,(5):421-424.[doi:10.16806/j.cnki.issn.1004-3934.2021.05.009]
 LI Caiyao,WANG Hongtao,QIN Xinghua,et al.Evolution of Indications for Ablation of Ventricular Tachycardia after Myocardial Infarction in Guidelines and Consensus[J].Advances in Cardiovascular Diseases,2021,(5):421-424.[doi:10.16806/j.cnki.issn.1004-3934.2021.05.009]
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心肌梗死后室性心动过速导管消融适应证在指南共识中的演变()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2021年5期
页码:
421-424
栏目:
综述
出版日期:
2021-05-25

文章信息/Info

Title:
Evolution of Indications for Ablation of Ventricular Tachycardia after Myocardial Infarction in Guidelines and Consensus
作者:
李才垚1 王洪涛1 秦兴华2 刘鹏1 郑强荪1
(1.西安交通大学第二附属医院,陕西 西安 710000;2.西北工业大学,陕西 西安 710072)
Author(s):
LI Caiyao1 WANG Hongtao 1 QIN Xinghua 2 LIU Peng 1 ZHENG Qiangsun 1
The Second Affiliated Hospital of Xi’an Jiaotong University, Xian 710000,Shaanxi,China; 2. Northwestern Polytechnical University, Xian 710072,Shaanxi,China) (81870257) ,E-mail: zhengqs@mail.xjtu.edu.cn
关键词:
心肌梗死室性心动过速导管消融适应证演变
Keywords:
Myocardial infarction Ventricular tachycardia Catheter ablation Indications Evolution
DOI:
10.16806/j.cnki.issn.1004-3934.2021.05.009
摘要:
室性心动过速(VT)是心肌梗死患者死亡的主要原因之一。植入型心律转复除颤器在预防心源性猝死方面非常有效,但VT发作时频繁放电给患者造成痛苦且除颤后不能改变VT发生的基质,而且无法进行VT的病因治疗导致VT复发。长期应用抗心律失常药物治疗心肌梗死后VT效果不佳但副作用明显。导管消融可标测心肌梗死后心肌基质,并可揭示心动过速发生的机制,是心肌梗死后VT的有效治疗方法。现就心肌梗死后VT导管消融的适应证在指南和共识中的演变做一汇总,旨在为致力于相关领域的工作者提供帮助。
Abstract:
Ventricular tachycardia is one of the leading causes of death in patients with myocardial infarction. Implantable cardioverter defibrillator is very effective in preventing sudden cardiac death, but frequent discharge during ventricular tachycardia cause s pain to the patient, and cannot alter the substrate of ventricular tachycardia . The treatment of etiology of ventricular tachycardia cannot be carried out, which leads to recurrence of ventricular tachycardia. Long-term use of antiarrhythmic drugs to treat ventricular tachycardia after myocardial infarction has limited effect but obvious side effects. Catheter ablation can map the myocardial substrate after myocardial infarction and reveal the mechanism of tachycardia. So, it is an effective treatment for ventricular tachycardia after myocardial infarction. This article summarizes the evolution of?indications for catheter ablation of ventricular tachycardia after myocardial infarction?in guidelines and consensus to provide assistance to those engaged in the field

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更新日期/Last Update: 2021-06-17