【醫(yī)學(xué)課件】室性心律失常：成功與失敗ppt課件(已修改)
2025-10-26 06:50 本頁面
【正文】 Ventricular Arrhythmias:A General Cardiologist’s Assessment of Therapies in 2021 Conti . MACC ： ； :； ： Evaluation of PVCs ? Start with the History and physical examination. ? Documentation of the arrhythmia is critical. – ECG. – Holter monitor. – Event monitor. – Reveal monitor. Management ? Management of PVCs differs in patients with and without structural heart disease. ? To define structural heart disease, consider: – Echocardiography. – ETT. – Left heart catheterization. PVCs in the Absence of Structural Heart Disease ? In the absence of structural heart disease, ventricular ectopy is generally benign, carrying no prognostic significance. ? Treatment with antiarrhythmic therapy is not indicated unless the patient is unacceptably symptomatic. PVCs in the Absence of Structural Heart Disease ? Treatment – Reassurance. – Avoidance of stimulants. ? Caffeine. ? Cigarettes. – Beta blockers. – Antiarrhythmic drugs as a last resort. PVCs in the Absence of Structural Heart Disease ? If antiarrhythmic drugs are necessary: – Class 1C: ? Flecainide. ? Propafenone. – Mexilitene. – Amiodarone is rarely, if ever, indicated. Management of Ventricular Ectopy in the Presence of Structural Heart Disease AVID ? Antiarrhythmics Versus Implantable Defibrillators ? Sponsored by: – Nat
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