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阵发性室上性心动过速如何规范用药

2021-07-16 MedSci原创 MedSci原创

心律失常阵发性室上性心动过速抗心律失常药
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阵发性室上性心动过速如何规范用药？-第六个问题.

《梅斯直播课：心律失常的临床诊断与心电图分析 》

回答问题6：阵发性室上性心动过速如何规范用药？

 

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    2022-04-29 aids223

    #阵发性室上性心动过速#

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1705763, encodeId=146e1e0576330, content=<a href='/topic/show?id=741b9e627ab' target=_blank style='color:#2F92EE;'>#阵发性室上性心动过速#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=97627, encryptionId=741b9e627ab, topicName=阵发性室上性心动过速)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=dd3931065017, createdName=aids223, createdTime=Fri Apr 29 05:11:46 CST 2022, time=2022-04-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1937402, encodeId=a11b193e402a1, content=<a href='/topic/show?id=24f3462064a' target=_blank style='color:#2F92EE;'>#室上性心动过速#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46206, encryptionId=24f3462064a, topicName=室上性心动过速)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=346311, createdName=wgsun, createdTime=Fri Dec 17 22:11:46 CST 2021, time=2021-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1471143, encodeId=80c414e11432b, content=<a href='/topic/show?id=f06c5090466' target=_blank style='color:#2F92EE;'>#心动过速#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50904, encryptionId=f06c5090466, topicName=心动过速)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Sun Jul 18 00:11:46 CST 2021, time=2021-07-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1000170, encodeId=d3f210001e095, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210716/155f70361675480ab1b08cc8157dad39/d16929495cd1490d85b60f0bcd2fe881.jpg, createdBy=d1595526073, createdName=陆陆4316, createdTime=Fri Jul 16 21:39:48 CST 2021, time=2021-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1000126, encodeId=d280100012612, content=学习了 谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1f221859736, createdName=ms2658711348342440, createdTime=Fri Jul 16 20:13:05 CST 2021, time=2021-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=999954, encodeId=fdc299995491, content=学习了：, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210712/54e4a11cec2945c2a6bcde14c97eef3d/57546a87ba4f4aee814240c83c8419d3.jpg, createdBy=15995481344, createdName=嵘, createdTime=Fri Jul 16 09:17:12 CST 2021, time=2021-07-16, status=1, ipAttribution=)]
    2021-12-17 wgsun

    #室上性心动过速#

    0

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    2021-07-18 zhouqu_8

    #心动过速#

    0

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    2021-07-16 陆陆4316

    学习了

    0

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    2021-07-16 ms2658711348342440

    学习了 谢谢

    0

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    2021-07-16 嵘

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阵发性室上性心动过速：从发作诊断到处理，一文详解！

临床上最常见的室上性心动过速类型为预激旁路引发的房室折返性心动过速（AVRT）以及房室结双径路引发的房室结折返性心动过速（AVNRT），这二者约占90%左右且多由折返机制引起。

房速如何诊断？阜外医院姚焰等提出简单方法

正确诊断阵发性室上性心动过速的机制是成功消融的先决条件，房性心动过速与其他折返机制的阵发性室上性心动过速进行鉴别尤为重要，而且也经常有一定困难。

Heart：SVT患者接受辅助医务人员治疗很安全！

2017年9月，发表在《Heart》的一项由英国科学家进行的随机对照试验，考察了定期阵发性室上性心动过速患者接受辅助医务人员治疗的安全性和有效性。

阵发性室上性心动过速的确诊过程中需要注意什么？

本例患者为18岁男性，阵发性心悸2年。初诊考虑阵发性室上性心动过速，经一系列问诊及体格检查未发现异常，最后通过心电图和食管电生理印证初诊判断，最终诊断为慢-快型房室结折返性心动过速。本病例在如何发现诊断线索、鉴别心电图和选择治疗方案等方面具有代表性，详细要点请见下文。

Stroke：阵发性室上性心动过速与缺血性卒中独立相关

　　美国一项研究表明，阵发性室上性心动过速（PSVT）与缺血性卒中呈独立相关，PSVT可能为卒中的新型危险因素。论文4月30日在线发表于《卒中》（Stroke）。 　　此项回顾性队列研究利用急诊和住院保险索赔资料确认了相关患者。主要暴露指标为卒中发生前或卒中就诊时伴有PSVT诊断。排除伴有房颤诊断的患者亦减少混淆。利用ICD-9确定PSVT、卒中和房颤。 　　结果显示，共有4806830例适宜