Can Fam Physician. 1987 Apr;33:971-6.
Arrhythmias and sudden cardiac death resulting from ventricular tachycardia/fibrillation are important public health issues of this decade. Complexities surrounding the subject, plus a relatively experimental and toxic therapeutic armamentarium with poorly defined end points, have largely limited the field to the specialized cardiologist. Recent studies, however, have served to identify those at risk as a result of their dysrhythmia,, and given the improved methods for detection and monitoring and a host of potent new antiarrhythmic drugs, interest in the area is certain to broaden. Inasmuch as initial presentation and follow-up often lie within the realm of the family physician or generalist, an understanding and update of this important subject is in order.
心律失常和由室性心动过速/颤动引起的心脏性猝死是这十年的重要公共卫生问题。由于该主题涉及到的复杂性,加上治疗方法相对较为实验性和毒性,且终点定义不明确,这在很大程度上限制了该领域仅为专业心脏病专家所关注。然而,最近的研究已经确定了由于心律失常而处于危险之中的人群,并且由于检测和监测方法的改进以及一系列有效的新型抗心律失常药物,人们对该领域的兴趣肯定会扩大。由于初始表现和随访通常都在家庭医生或全科医生的范围内,因此,对这个重要主题的理解和更新是必要的。