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'心室电风暴'的临床表现和处理方法 被引量:2

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摘要 2006年<室性心律失常治疗和心脏性猝死预防指南>将'心室电风暴'定义为:24 h内反复发作2次或2次以上的室性心动过速(室速)或心室纤颤(室颤).'心室电风暴'又称室速风暴、交感风暴、儿茶酚胺风暴、埋藏式心脏除颤器(ICD)电风暴.'电风暴'是需要紧急处理的临床综合征,主要促发因素有心肌缺血、电解质紊乱、急性心力衰竭(心衰)、药物影响等.器质性心脏病变是发生'电风暴'的病理基础.现将我们的治疗经验报告如下.
出处 《中国中西医结合急救杂志》 CAS 北大核心 2009年第6期372-373,共2页 Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
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  • 1郭成军,吕树铮,阎方明,姜腾勇,李海宴,张金荣.经皮冠状动脉介入治疗防治冠心病无心肌梗死患者的电风暴[J].中华心血管病杂志,2005,33(9):806-809. 被引量:40
  • 2郭成军,方冬平,刘建敏,何东方,刘冰,郭喜朝,李国庆,张春芳,张英川.心室电风暴与希氏-浦肯野系统传导异常的临床联系[J].中华心血管病杂志,2006,34(11):1013-1015. 被引量:11
  • 3Vemla A,Kilicaslen F,Marrouche NF,et a1.Prevalence,predictors,and mortality significance of the causative arrhythmia in patients with electrical storm[J].J Cardiovasc Electrophysiol,2004,15(11):1265-1270.
  • 4Zipes D,Camm AJ,Porggrefe M,et a1.ACC/AHA/ESC 2006 Guidelines for management of patients with ventricular arthythmias and the prevention of sudden Cardiac death[J].JACC,2006,48(5):247,346.
  • 5Aliot EM,Stevenson WG,Almendral-Garrote JM,et al.EHRA/HRS Expert Consensus on Catheter Ablation of Ventricular Arrhythmias:developed in a partnership with the European Heart Rhythm Association(EHRA),a Registered Branch of the European Society of Cardiology(ESC),and the Heart Rhythm Society(HRS);in collaboration with the American College of Cardiology(ACC)and the American Heart Association(AHA)[J].Europace,2009,11(6):771-817.
  • 6Arash A,Majid H,Mohammad RD,et al.Prevalence and predicto rs of electrical storm in patients with implantable cardioverter-defibrillator[J].Am J Cardiol,2006,97(2):389-392.
  • 7Arya A,Bode K,Piorkowski C,et al.Catheter ablation of electrical storm due to monomorphic ventricular tachycardia in patients with nonschemic cardiomyopathy:acute results and its effect on long-term survival[J].Clin Electrophysiology,2010,33(12):1504-1509.
  • 8Kim SG,Ling J,Fisher JD,et a1.Comparison and frequency of ventricular arrhythmiss after defibrillator implantation by thoracotomy versus nonthoracotomy approaches[J].Am J Cardiol,1994,74(12):1245-1248.
  • 9Israel CW,Barold SS.Electrical storm in patients with implanted defibrillator:a matter of definition[J].Ann Noninvasive Eleetrocardiol,2007,12(4):375-382.
  • 10Lowe L,Matteucci MJ,Schneir AB.Herbal aconite tea and refractory ventricular tachycardia[J].N Engl J Med,2005,353(14):1532.

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