2015年欧洲心脏病学会关于心肌病、遗传性心律失常、小儿和先天性心脏病患者室性心律失常治疗和心脏性猝死预防指南解读  

Interpretation of 2015 European Society of Cardiology Guidelines for the Management of Ventricular Arrhythmias in Patients with Cardiomyopathies,Inherited primary arrhythmia syndromes,Paediatric Arrhythmias and Congenital Heart Disease,and the Prevention o

作　　者：梁峰[1] 沈珠军[2] 方全[2] 胡大一[3] Liang Feng Shen Zhujun Fang Quan Hu Dayi(Department of Cardiology, Daxing Hospital, Capital University of Medical Sciences, Beijing 102600, China Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China Cardiac Center,Beijing People’ s Hospital,Beijing University, Beijing 100044 , China)

机构地区：[1]首都医科大学大兴医院心内科,北京102600 [2]中国医学科学院,北京协和医院心内科,100730 [3]北京大学人民医院心脏中心,100044

出　　处：《中国心血管杂志》2016年第5期413-418,共6页Chinese Journal of Cardiovascular Medicine

基　　金：北京市卫生系统高层次卫生技术人才培养项目(2009-3-68);首都医学发展科研基金项目(2009-3261)~~

摘　　要：本文解读2015年欧洲心脏病学会关于心肌病、遗传性心律失常、小儿和先天性心脏病患者室性心律失常治疗和心脏性猝死预防指南,指南全面评价了这些患者室性心律失常和心脏性猝死的风险因素;更新了风险分层和室性心律失常预防和治疗最佳策略推荐,以预防心脏性猝死和降低其他不良临床预后;最后指出临床证据的空白,明确今后研究的重点领域。The review interpreted 2015 European Society of Cardiology （ ESC） guidelines for the management of ventricular arrhythmias and the prevention of sudden cardiac death in patients with cardiomyopathy, inherited primary arrhythmia syndrome, pediatric ventricular arrhythmias and congenital heart disease,provided a comprehensive assessment of the risk factors for ventricular arrhythmias and sudden cardiac death and comprehensively reviewed in the published evidence for patients with these diseases,and updated appropriate approaching to risk stratification of the patients.The optimal preventive and therapeutic strategies of ventricular arrhythmia are recommended on the basis of the risk stratification,in order to prevent sudden cardiac death and reduce other adverse clinical outcomes.Finally,the gaps in clinical evidence on the risk stratification,management of ventricular arrhythmia and prevention of sudden cardiac death are pointed out,the key future research areas have been clarified.

关 键 词：室性心律失常 猝死 心脏 心肌疾病 遗传性心律失常 

分 类 号：R725.4[医药卫生—儿科] R54[医药卫生—临床医学]