Prystowsky E N, Packer D L, Schier J J, Lowe J E
Department of Medicine, Duke University Medical Center, Durham, North Carolina 27710.
Annu Rev Med. 1990;41:239-50. doi: 10.1146/annurev.me.41.020190.001323.
Nonpharmacologic treatment using surgery or intracardiac catheter ablation can be used for several forms of supraventricular tachycardia. Surgery is highly successful in preventing recurrent tachyarrhythmias in patients with the Wolff-Parkinson-White syndrome and can be recommended as first-line treatment in several situations. Catheter ablation of the atrioventricular conduction system combined with an implanted ventricular pacemaker can offer substantial relief to selected patients with drug-refractory atrial fibrillation. Technical advances in catheter ablation will undoubtedly lead to more widespread use of this form of therapy in supraventricular tachycardia.
使用手术或心内导管消融的非药物治疗可用于多种形式的室上性心动过速。手术在预防预激综合征患者的复发性快速心律失常方面非常成功，在几种情况下可被推荐为一线治疗。房室传导系统的导管消融联合植入式心室起搏器可为部分药物难治性心房颤动患者带来显著缓解。导管消融技术的进步无疑将导致这种治疗形式在室上性心动过速中得到更广泛的应用。
