埋藏式心脏复律除颤器患者术后电风暴的预防和处理  

Prevention and Treatment of Electrical Storm in Patients with Implanted Cardioverter Defibrillator

作　　者：陈泗林[1] 

机构地区：[1]广东省人民医院广东省心血管病研究所,广东广州510100

出　　处：《心血管病学进展》2008年第6期832-835,共4页Advances in Cardiovascular Diseases

摘　　要：The term "electrical storm"(ES)in patients with an implantable cardioverter defibrillator(ICD)indicates a state of cardiac electrical instability manifested by several episodes of ventricular tachyarrhythmias(VTs)and ventricular fibrillation within a short time.In this article,we have reviewed the definition,incidence,triggers,treatment,prevention and prognosis of ES in patients with ICD.The role of ICD programming such as antitachycardia pacing(ATP)is highly effective,equally safety,and improves the quality of life.ATP may be the preferred fasicular ventricular tachycardia therapy in most ICD patients.The reduction of the elevated sympathetic tone by beta blockers is one of the key intervention in ES.The combination of amiodarone therapy is determined by the individual condition of patients.ES seems to have an impaired prognosis and frequently leads to hospitalization.Long-term prognostic implications of ES are unclear.The teiTn ＂electrical storm＂ （ES） in patients with an implantable cardioverter defibrillator （ICD） indicates a state of cardiac electrical instability manifested by several episodes of ventricular tachyarrhythmias （VTs） and ventricular fibrillation within a short time. In this article, we have reviewed the definition, incidence, triggers,treatment, prevention and prognosis of ES in patients with ICD. The role of ICD programming such as alltitachycardia pacing（ATP） is highly effective, equally safety, and improves the quality of life. ATP may be the preferred fasicular ventricular tachycardia therapy in most ICD patients. The reduction of the elevated sympathetic tone by beta blockers is one of the key intervention in ES. The combination of amiodarone therapy is determined by the individual condition of patients. ES seems to have an impaired prognosis and frequently leads to hospitalization. Long-term prognostic implications of ES are unclear.

关 键 词：埋藏式心脏复律除颤器 电风暴 抗心动过速起搏 Β受体阻滞剂 射频消融 

分 类 号：R541.7[医药卫生—心血管疾病]