The Heart Centre, The Alfred Hospital, Commercial Road, Melbourne, Australia 3004.
Heart. 2010 Feb;96(3):181-5. doi: 10.1136/hrt.2008.143552. Epub 2009 May 13.
Focal atrial tachycardia is a relatively uncommon arrhythmia. Nevertheless, the management of highly symptomatic patients with focal atrial tachycardia can be problematic owing to the poor response to medical treatment. Moreover, focal atrial tachycardia can trigger other atrial arrhythmias like atrial fibrillation and flutter. Radiofrequency ablation of focal atrial tachycardia is extremely successful and this approach is becoming the preferred treatment for symptomatic patients.In this review, we describe the pathophysiology, anatomical localisation, clinical features, diagnosis and therapeutic options for the management of focal atrial tachycardia.
局灶性房性心动过速是一种相对少见的心律失常。然而,由于对药物治疗反应不佳,高度有症状的局灶性房性心动过速患者的管理可能会成为问题。此外,局灶性房性心动过速可引发其他房性心律失常,如心房颤动和扑动。射频消融局灶性房性心动过速非常成功,这种方法正成为有症状患者的首选治疗方法。在这篇综述中,我们描述了局灶性房性心动过速的病理生理学、解剖定位、临床特征、诊断和治疗选择。