Schmidinger H
Abteilung für Kardiologie, Universitätsklinik für Innere Medizin II, Wien.
Wien Med Wochenschr. 1992;142(15-16):341-6.
The use of nonpharmacological methods in the treatment of life-threatening ventricular tachyarrhythmias is increasing. These include surgical procedures, the application of direct and radiofrequency current for endocardial ablation, antitachycardia stimulation techniques and the implantation of cardioverter defibrillators. Each of these therapeutical procedures is characterized by its specific indication. Based on the underlying cardiac disease and the characteristics of the electrophysiological properties of the ventricular tachyarrhythmia as well as based on the specific properties of the different nonpharmacological procedures an individual therapeutical approach has to be tailored for a patient given. Primary goal is application of a nonpharmacological procedure exclusively, however, in selected cases additional administration of an anti-arrhythmic drug (decrease in tachycardia frequency in patients with implanted defibrillators, widening of the termination window in patients with antitachycardia devices) may be necessary to achieve satisfactory tachycardia control.
在危及生命的室性快速性心律失常治疗中，非药物方法的应用正在增加。这些方法包括外科手术、应用直流电和射频电流进行心内膜消融、抗心动过速刺激技术以及植入心脏复律除颤器。这些治疗方法中的每一种都有其特定的适应症。基于潜在的心脏疾病、室性快速性心律失常的电生理特性以及不同非药物治疗方法的特性，必须为特定患者量身定制个体化的治疗方案。首要目标是仅应用非药物治疗方法，然而，在某些情况下，可能需要额外给予抗心律失常药物（降低植入除颤器患者的心动过速频率，扩大抗心动过速装置患者的终止窗口）以实现令人满意的心动过速控制。
