D'Aiuta R, Finelli L
Medical Oncology Division, Memorial Sloan-Kettering Cancer Center, New York.
Nurse Pract. 1991 Aug;16(8):14-9, 23, 26.
Ventricular arrhythmia is a common problem in the ambulatory setting. Ventricular arrhythmias that appear to be similar on the electrocardiograph may have different prognostic significance, depending on the patient's age and the presence of underlying heart disease or ventricular dysfunction. The ultimate goal in the care of any patient with ventricular arrhythmia is prevention of sudden cardiac death. Patients can usually be classified into one of five diagnostic categories, based on symptoms and evidence of underlying heart disease. This article discusses the classification of ventricular arrhythmias as either benign, potentially malignant or malignant. The risks of antiarrhythmic therapy and specific management plans for each of the five diagnostic categories are provided. These management plans are meant to serve as a framework for the clinician who provides primary care to these patients. An explanation of terms used commonly in the interpretation of ventricular arrhythmias is included, as well as guidelines for the assessment of patients with ventricular arrhythmias.
室性心律失常是门诊环境中的常见问题。在心电图上看似相似的室性心律失常可能具有不同的预后意义，这取决于患者的年龄以及是否存在潜在的心脏病或心室功能障碍。任何室性心律失常患者护理的最终目标都是预防心源性猝死。根据症状和潜在心脏病的证据，患者通常可分为五个诊断类别之一。本文讨论了室性心律失常的分类，分为良性、潜在恶性或恶性。还提供了抗心律失常治疗的风险以及五个诊断类别中每一类的具体管理计划。这些管理计划旨在为为这些患者提供初级护理的临床医生提供一个框架。文中还包括了室性心律失常解读中常用术语的解释，以及室性心律失常患者评估指南。
