ACC/AHA/HRS 2006 key data elements and definitions for electrophysiological studies and procedures - A report of the American College of Cardiology/American Heart Association Task Force on Clinical Data Standards (ACC/AHA/HRS Writing Committee to Develop Data Standards on Electrophysiology)
ACC/AHA/HRS 2006 key data elements and definitions for electrophysiological studies and procedures - A report of the American College of Cardiology/American Heart Association Task Force on Clinical Data Standards (ACC/AHA/HRS Writing Committee to Develop Data Standards on Electrophysiology)
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DOI：
10.1016/j.jacc.2006.09.020
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发表时间：
2006-12-05
影响因子：
24
通讯作者：
Redberg, Rita F.
中科院分区：
文献类型：
--
作者：
Buxton, Alfred E.;Calkins, Hugh;Redberg, Rita F.
临床心脏电生理学（EP）的当前时代始于20世纪60年代末，随着EP实验室的引入和发展。它最初是一个专注于提高我们对心脏传导缺陷的理解的诊断领域，然后扩展到对室上性和室性心律失常患者的诊断研究。这门学科现在已经发展成为一个治疗风险已经取代诊断作为主要焦点的学科。电生理学家指导的治疗包括两种主要类型：1)基于导管的治疗或缓解速性心律失常；2)基于设备的，既适用于慢速心律失常也适用于快速心律失常。最近，EP使用独特的起搏方式影响了心力衰竭患者的治疗。这一学科将继续发展，人们可以预见，在未来，心电导管和设备将被用于提供新的分子和基因治疗。人们越来越重视治疗的结果。如果我们要评估新的和已建立的治疗方法的结果，就有必要准确地描述患者的特征。这就需要创建数据库，不仅要记录患者的属性，还要允许在患者组之间进行比较。描述病人的特点，以及治疗结果，不仅是至关重要的研究人员，但从业者。每个参与病人护理的医生都有义务对他们提供的护理结果进行批判性评估。如果我们不质疑我们与病人互动的结果，我们将使误解永久化，重复以前的错误，并阻碍医学科学的进步。正是本着这种精神，我们提出了第一版ACC/AHA/HRS电生理临床数据标准。
The current era of clinical cardiac electrophysiology (EP) began in the late 1960s with the introduction and growth of EP laboratories. What began as a diagnostic field focused on improving our understanding of cardiac conduction defects, then spread into diagnostic studies of patients with tachyarrhythmias, both supraventricular and ventricular. This discipline has now evolved into one in which therapeutic ventures have displaced diagnosis as the major focus. Therapies directed by electrophysiologists encompass two major types: 1) catheter-based, for cure or palliation of tachyarrhythmias; and 2) device-based, for both bradyarrhythmias as well as tachyarrhythmias. More recently, EP has influenced the treatment of patients with heart failure, using unique pacing modalities. This discipline will continue to evolve, and one can foresee EP catheters and devices being utilized to deliver novel molecular and genetic therapies in the future.Increasing emphasis is being placed on the outcomes of treatment. If we are to evaluate the results of new, as well as established, treatments, it is necessary to characterize patients accurately. This, in turn, requires the creation of databases that not only record patient attributes, but permit comparison between patient groups. Description of patient characteristics, as well as treatment outcomes, is vital not only to researchers, but to practitioners. Every physician involved in patient care is obligated to critically evaluate the results of the care they deliver. If we do not question the results of our interactions with patients, we will perpetuate misconceptions, repeat previous mistakes, and retard the advancement of medical science. It is in this spirit that we present this first edition of the ACC/AHA/HRS Electrophysiology Clinical Data Standards.