32例分支型室性心动过速的诊断和治疗探讨

Diagnosis and Treatment of 32 Cases With Fascicular Ventricular Tachycardia

目的:探讨分支型室性心动过速(FVT)的诊断和治疗方法。方法:回顾性分析32例FVT的临床资料、心电图、食管及心内电生理特点。结果:FVT可根据心电图、食管及心内电生理确诊,急性发作时可采用药物控制,应用导管射频消融术(RFCA)可根治。结论:FVT可根据ECG资料迅速、准确作出诊断,RFCA根治FVT有效且安全。

Objective： To investigate the diagnosis and treatment of fascicular ventricular tachycardia（FVT）. Methods： Clinical data and ECG, transesophageal ECG and electrophysiology of 32 cases with FVT were analyzed. Results：FVT can be diagnosed by ECG, transesophageal ECG and Electrophysiology. The actue attack could be controlled by drugs and could be cured by radiofreqency cather ablation（RFCA）. Conclusion： FVT can be quickly diagnosed by ECG and can be effectively and safely cured by RFCA.