Motté G, Slama M, Dinanian S, Sebag C
Hôpital Antoine-Béclère, Clamart.
Arch Mal Coeur Vaiss. 1992 Dec;85 Spec No 4:85-9.
The treatment of chronic ventricular arrhythmias depends on the severity and tolerance of the arrhythmia. Extrasystoles, even repetitive, in the healthy heart, are usually respected when asymptomatic or treated with betablockers in first intention when symptomatic. These drugs should also be proposed for patients with ischemic heart disease and non-sustained ventricular tachycardia, a situation in which Class I antiarrhythmics should be avoided. The prevention of sustained ventricular tachycardial may be empirical, with betablockers and/or amiodarone, or guided by the results of pharmacological tests during endocavitary electrophysiological studies.
慢性室性心律失常的治疗取决于心律失常的严重程度和耐受性。在健康心脏中，即使是频发的早搏，若无症状通常无需处理，若有症状则首选β受体阻滞剂进行治疗。对于患有缺血性心脏病和非持续性室性心动过速的患者也应使用这些药物，而应避免使用Ⅰ类抗心律失常药物。持续性室性心动过速的预防可以凭经验使用β受体阻滞剂和/或胺碘酮，也可根据心腔内电生理研究期间的药理试验结果来指导用药。
