Chun Terrence U H, Van Hare George F
Division of Pediatric Cardiology, Seattle Children's Hospital and Regional Medical Center, 4800 Sandpoint Way NE, Seattle, WA 98105, USA.
Curr Cardiol Rep. 2004 Sep;6(5):322-6. doi: 10.1007/s11886-004-0033-8.
Supraventricular tachycardia is relatively common in children. Although most forms are not life threatening, treatment options depend on appropriate diagnosis. In certain patients, medical treatments are adequate for controlling symptoms. For those in whom medical therapy is inadequate or undesirable, invasive electrophysiology techniques are a viable treatment option. Increasing experience with radiofrequency catheter ablation techniques has led to improved success rates and decreased complication rates. New technologies, such as nonradiographic mapping systems and novel ablation catheters, are additional tools that can improve the ability of pediatric electrophysiologists to approach treating tachycardia mechanisms that have previously been too challenging to treat safely.
室上性心动过速在儿童中相对常见。虽然大多数类型不会危及生命,但治疗方案取决于准确的诊断。对于某些患者,药物治疗足以控制症状。对于那些药物治疗效果不佳或不理想的患者,侵入性电生理技术是一种可行的治疗选择。随着射频导管消融技术经验的增加,成功率得到提高,并发症发生率降低。新技术,如非放射影像标测系统和新型消融导管,是额外的工具,可提高儿科电生理学家处理以前因过于具有挑战性而难以安全治疗的心动过速机制的能力。