The management of patients with life-threatening ventricular tachyarrhythmias: programmed stimulation or Holter monitoring (either or both)?
The management of patients with life-threatening ventricular tachyarrhythmias: programmed stimulation or Holter monitoring (either or both)?
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危及生命的室性快速心律失常患者的治疗：程序刺激或动态心电图监测（其中之一或两者）？
作者：
S. Kim
程序性刺激(PES)和动态心电图监测在恶性室性心律失常的治疗中得到了广泛的应用。据观察，复发性室性心动过速(VT)或院外心脏骤停的患者往往有频繁而复杂的室性早搏(VPC)。从这一观察结果可以推测，在这些患者中，频繁和复杂的VPC可能代表潜在的电不稳定，而VPC的抑制可能反映了潜在的电不稳定的改变。也有人推测，通过抗心律失常治疗抑制室性异位可能会减少复发恶性心律失常和猝死的可能性。终止室性心动过速影响临床复发和抗心律失常，但未能预防临床复发。和
BOTH PROGRAMMED STIMULATION (PES) and Holter monitoring are used widely in the management of patients with malignant ventricular arrhythmias. It has been observed that patients with recurrent ventricular tachycardia (VT) or out-of-hospital cardiac arrest often have frequent and complex ventricular premature complexes (VPCs). From this observation, assumptions were made that frequent and complex VPCs may represent underlying electrical instability in these patients and a suppression of VPCs may reflect modifica-tion of the underlying electrical instability. It has also been surmised that suppression of ventricular ectopy by antiarrhythmic therapies may reduce the likelihood of recurrent malignant arrhythmia and sudden death. termination VT effects clinical recurrences and antiarrhythmic that failed to prevent to prevent clinical recurrences. and