摘要
肥厚型心肌病(HCM)最为严重的并发症是心源性猝死(SCD)。尽管其概率约为1%,但其发生SCD的风险在逐年升高。识别猝死高风险患者、并置入植入式心律转复除颤器(ICD)是一种可行的,挽救生命的治疗手段。此篇综诉主要总结导致HCM患者SCD的危险因素,解读目前仍有少许争议的相关指南,并综合有指导性的数据,提供最合理的临床决策依据。
Sudden cardiac death （SCD） is the most serious complication of hypertrophic cardiomyopathy （HCM）. Although its annual incidence rate is about 1%, but its risk rises year by year. In HCM treatment, identifying high risk patients of sudden death and implantable cardioverter defibrillator （ICD） implantation becomes a feasible meas-ure to save life. The present review mainly summarized risk factors for SCD in HCM patients, analyzed current somewhat conflicting relative guidelines, and temped to provide data for most rational clinical decision.
出处
《心血管康复医学杂志》
CAS
2017年第5期574-577,共4页
Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词
心肌病
肥厚性
猝死
心脏
危险因素
Cardiomyopathy, hypertrophic
Death, sudden, cardiac
Risk factors
