心脏电风暴及其诊治  

Diagnosis and Treatment of Electrical Storm

作　　者：刘鹏[1] 王昊[1] 廖德宁[1] 

机构地区：[1]第二军医大学附属长征医院心内科,上海200001

出　　处：《心血管病学进展》2013年第2期206-209,共4页Advances in Cardiovascular Diseases

基　　金：国家自然科学基金项目(81270244);第二军医大学创新基金项目(ZD2012001)

摘　　要：心脏电风暴指24 h内发生3次或以上持续性心动过速、心室颤动或植入式心脏复律除颤器正确放电事件。心脏电风暴可在急性心肌梗死时发生,也可在器质性心脏疾病患者、遗传性心律失常综合征患者中出现。主要症状为心悸、头昏,常发生晕厥,严重者心跳骤停、反复发生致死性心律失常及植入式心脏复律除颤器反复放电等。以往治疗基石为Ⅰ类抗心律失常药物、β受体阻滞剂及植入式心脏复律除颤器预防,近来消融手术、交感神经阻滞手术展现出在治疗心脏电风暴方面的优势。Electrical storm is defined by 3 or more sustained episodes of ventricular taehycardia, ventricular fibrillation, or appropriate shocks from an implantable cardioverter-defibrillator within 24 hours. Electrical storm can manifest itself during acute myocardial infarction and in patients who have structural heart disease or an inherited arrbythmic syndrome. The main manifestation are palpitation, dizzy, usually syncope or even cardiac arrest, fetal ventricular arrhythmia and repeated implantable cardioverter defibrillators shocks. Class Ⅰ antiarrythmia drug, β antagonist and implantable cardioverter defibrillators prophylaxis are basement of treatment of electrial storm. Recently, radiofrequency ablation and sympathetic nerver block are showing their advantange.

关 键 词：心脏电风暴 射频消融 左心交感神经去除 

分 类 号：R541.7[医药卫生—心血管疾病]