室性心律失常的危险分层和治疗策略课件培训课件.ppt

室性心律失常的危险分层和治疗策略课件心脏猝死(SCD)的发病率心脏猝死是美国主要致死病症一心脏猝死危险因素MyerburgRJ.HeartDisease,ATextbookofCardiovascularMedicine,5thed,Vol1.Philadelphia:WBSaundersCo;1997:ch24.
FogorosRN.PracticalCardiacDiagnosis:ElectrophysiologicTesting,2nded.BlackwellScience,pp172.
TheAVIDInvestigators.NEnglJMed.1997;337:1576-1583.
MyerburgRJ.AnnInternMed..1993;119:1187-1197.
DemirovicJ.ProgrCardiovascDis.1994;37:39-48.
FriedlanderY.Circulation.1998;97:155-160.
MyerburgRJ.HeartDisease,ATextbookofCardiovascularMedicine,5thed,Vol1.Philadelphia:WBSaundersCo;1997:ch24.
FogorosRN.PracticalCardiacDiagnosis:ElectrophysiologicTesting,2nded.BlackwellScience,pp172.
TheAVIDInvestigators.NEnglJMed.1997;337:1576-1583.MyerburgRJ.HeartDisease,AtextbookofCardiovascularMedicine.5thed,Vol1.Philadelphia:WBSaundersCo;1997:ch24.
DeVreede-SwagemakersJJ.JAmCollCardiol.1997;30:1500-1505.
KannelWB.Circulation.1975;51:606-613.
ShenWK.MayoClinProc.1991;66:950-962.
BiggerJT.Circulation.1984;69:250-258.
RubermanW.Circulation.1981;64:297-305.
BuxtonAE.NEnglJMed.1999;341:1882-1890.FuttermanLG.AmJCritCare.1997;6:472-482.
DemirovicJ.ProgrCardiovascDis.1994;37:39-48.
MossAJ.NEnglJMed.1996;335:1933-1940.
FriedlanderY.Circulation.1998;97:155-160.MyerburgRJ.HeartDisease,ATextbookofCardiovascularMedicine.5thed,Vol1.Philadelphia:WBSaundersCo;1997:ch24.
MiddlekaufHR.JAmCollCardiol.1993;21:110-116.
StevensonWE.Circulation.1993;88:2953-2961.
MyerburgRJ.HeartDisease,ATextbookofCardiovascularMedicine.5thed,Vol1.Philadelphia:WBSaundersCo;1997:ch24.
MaronBJ.NewEnglJMed.2000;342:365-373.室性心律失常的危险分层室性心动过速的不同分类室性心律失常最早的危险分层室性心律失常最早的危险分层室性心律失常最早的危险分层室性心律失常的危险分层室性心律失常的危险分层室性心律失常的危险分层室性心律失常的危险分层室性心律失常最早的危险分层室性心律失常的危险分层室性心律失常的危险分层室性心律失常的危险分层室性心律失常的危险分层(HCM)室性心律失常的危险分层(HCM)室性心律失常的危险分层(HCM)高危HCM患者的治疗
药物治疗
胺碘酮是唯一有效地预防SCD的药物
非药物治疗
ICD治疗
其它治疗
外科手术
化学消融
室性心律失常的治疗措施室性心律失常药物治疗目的室性心律失常的药物治疗合并心功能不全时的药物选择抗心律失常药物的联合应用原则抗心律失常药物治疗中注意的问题抗心律失常药物致心律失常作用的治疗抗心律失常药物新分类(1)抗心律失常药物新分类(2)室性早搏的药物治疗原则室性心动过速的药物治疗原则反复单形性室性心动过速(RMVT)室性心律失常的电复律和电除颤特殊情况下的电复律和电除颤室性早搏的导管消融特发性室速的射频消