Frank Robert
Unité de rythmologie, Institut de cardiologie, groupe hospitalier La Pitié-La Salpêtrière, 75651 Paris Cedex 13.
Rev Prat. 2004 Feb 15;54(3):251-7.
Narrow QRS tachycardia are supraventricular tachycardia, atrial tachycardia or junctional tachycardia. The diagnosis is done with the ECG, after identification of atrial activation, eventually after vagal manoeuvres, and transoesophageal recordings. DC Choc, atrial pacing, or antiarrhythmic drugs can do interruption. All atrial tachycardia must be anticoagulated prior regularisation. There is seldom an emergency for regularisation, as drugs can always slow the ventricular rate down. Prevention of relapses uses oral antiarrhythmic drugs, sometimes pacing. Most of these tachycardia can be cured by catheter ablation, essentially flutter and junctional tachycardia.
窄QRS波心动过速包括室上性心动过速、房性心动过速或交界性心动过速。通过心电图进行诊断,在确定心房激动后,最终在进行迷走神经手法操作和经食管记录后作出诊断。直流电复律、心房起搏或抗心律失常药物可用于终止发作。所有房性心动过速在转复前必须进行抗凝治疗。转复很少有紧急情况,因为药物总能减慢心室率。预防复发采用口服抗心律失常药物,有时也采用起搏治疗。这些心动过速中的大多数可以通过导管消融治愈,主要是心房扑动和交界性心动过速。