Diab Ihab G, Earley Mark J
Manchester Heart Centre, UK.
Age Ageing. 2007 May;36(3):346-8. doi: 10.1093/ageing/afm015. Epub 2007 Mar 14.
Atrioventricular nodal re-entrant tachycardia (AVNRT) is a common arrhythmia that is frequently encountered in clinical practice. Though more common in the younger population, it affects individuals of all ages. The elderly in particular are usually more symptomatic and more frequently require emergency treatment including urgent hospital admissions. We report on a 96-year-old lady who presented with troublesome supraventricular tachycardia that was difficult to control with drug treatment. Electrophysiologic testing revealed AVNRT that was ablated successfully using the standard technique with no complications. She continued to do well at follow-up 1 month after the ablation. This case highlights the need to routinely offer this highly effective technique as the first-line treatment to the elderly along the same indications as those commonly observed among younger patients.
房室结折返性心动过速（AVNRT）是一种常见的心律失常，在临床实践中经常遇到。虽然在年轻人中更常见，但它影响所有年龄段的人。特别是老年人通常症状更明显，更频繁地需要紧急治疗，包括紧急住院。我们报告了一位96岁的女性，她出现了难以用药物治疗控制的麻烦的室上性心动过速。电生理检查显示为AVNRT，采用标准技术成功消融，无并发症。消融术后1个月随访时她情况良好。该病例强调了有必要按照与年轻患者常见指征相同的指征，将这种高效技术作为老年人的一线治疗常规提供。
