肾去交感神经术治疗植入型心律转复除颤器植入术后电风暴的研究进展

Renal Sympathetic Denervation in Treatment of Electrical Storm AfterImplantable Cardioverter Defibrillator Implantation

植入型心律转复除颤器(ICD)能有效预防和治疗因恶性心律失常导致的心源性猝死。但ICD植入术后患者发生电风暴不可预料且极其危险,目前针对ICD植入术后电风暴的治疗方法效果欠佳。近几年肾去交感神经术(RDN)为ICD植入术后电风暴的预防和治疗提供了新的思路和方法,RDN这一新的治疗方法能降低整个机体交感神经系统活性、明显抑制和逆转心肌重构,对改善和治疗心律失常有积极的效果。现对RDN治疗ICD植入术后电风暴的研究进展做一综述。

Implantable cardioverter defibrillator(ICD)can effectively prevent and treat sudden cardiac death caused by malignant arrhythmias.However,the occurrence of electrical storm after ICD implantation is unpredictable and extremely dangerous,and the current treatment for electrical storm is not effective.In recent years,renal sympathetic denervation(RDN)provides new ideas and methods for the prevention and treatment of electrical storm after ICD implantation.RDN,a new therapeutic method,can reduce the activity of sympathetic system,significantly inhibit and reverse myocardial remodeling,and has a positive effect on the improvement and treatment of arrhythmias.This article reviews the research progress of RDN in the treatment of electrical storm after ICD implantation.