快慢综合征与慢快综合征的对比研究  

Comparative analysis on tachycardia-bradycardia syndrome and bradycardia-tachycardia syndrome

作　　者：柴婵娟[1] 杨志明[1] 

机构地区：[1]山西医科大学第二医院心内科,山西太原030001

出　　处：《实用心电学杂志》2016年第2期138-141,共4页Journal of Practical Electrocardiology

基　　金：山西省基础研究项目(2014011040-8)

摘　　要：快慢综合征患者一般窦房结功能正常,在出现快速心律失常转复时,因窦房结功能的一过性抑制而发生缓慢心律失常;慢快综合征患者窦房结功能多有器质性病变,表现为在缓慢性心律失常的基础上合并有快速心律失常。快慢综合征患者经射频导管消融术后,室上性心动过速消失后伴随的长间期随之消失,窦房结功能一般可恢复;而慢快综合征患者首选植入起搏器,结合抗心律失常药物,药物控制不佳时也可选择导管消融。Sinoatrial node usually works normally in tachycardia-bradycardia syndrome patients;however,for its function is transiently suppressed,bradyarrhythmia occurs with the cardioversion of tachyarrhythmia. Comparatively,organic lesions of sinoatrial node are usually found in bradycardiatachycardia syndrome patients. The manifestation is bradyarrhythmia complicating tachyarrhythmia.After radiofrequency catheter ablation in patients with tachycardia-bradycardia syndrome,supraventricular tachycardia can be successfully ablated and long RR interval no longer relapses; most of sinoatrial node functions can be restored. In treating bradycardia-tachycardia syndrome patients,the first choice should be the implantation of cardiac pacemaker combined with anti-arrhythmia medicine. Radiofrequency catheter ablation is another choice when drug controls poorly.

关 键 词：快慢综合征 慢快综合征 心律失常 导管消融 

分 类 号：R540.41[医药卫生—心血管疾病]