成人先天性心脏病心律失常的诊断和治疗进展

Advances in Diagnosis and Treatment of Adult Congenital Heart Disease with Arrhythmia

先天性心脏病(CHD)治疗技术的快速进展使得在发达国家有超过90%的CHD儿童能存活到成年,导致成人CHD患者数量远远超过儿童CHD患者数量。心律失常患者可表现为从无症状到有致命性症状,其复杂性和治疗方面的挑战性,要求临床医生必须对患者进行实时监测、严格评估、综合考虑,最后选择最佳的治疗方案。现根据最新颁布的相关专家共识,就成人CHD心律失常患者的诊断和治疗进展进行阐述。

In developed countries,the rapid,aggressive and progressive treatment of congenital heart disease（ CHD） enables more than 90% of CHD children to successfully grow into adults. As a result,the number of adult patients with CHD far outnumber that of pediatric CHD patients. Arrhythmia patients may have different manifestations from asymptomatic to fatal symptoms. Due to the complex and challenging of the treatment of arrhythmia,clinicians must monitor,evaluate and comprehensively understand their patients＇ needs to help them choose the optimal treatment program. This article reviews primarily about the diagnosis progress and treatment of adult CHD patients with arrhythmia.