Emerek Kasper, Riahi Sam, Hjortshøj Søren Pihlkjær
Kardiologisk Afdeling S, Aarhus Universitetshospital, Aalborg Sygehus, Hobrovej 16-18, 9100 Aalborg, Denmark.
Ugeskr Laeger. 2013 Jan 7;175(1-2):48-51.
The role of radiofrequency ablation in the acute management of electrical storm is reviewed. Electrical storm is defined as three or more intervention-requiring episodes of ventricular fibrillation or ventricular tachycardia within 24 hours. The management of electrical storm includes antiarrhythmic therapy including beta blockers and correction of initiating causes as myocardial ischaemia and electrolyte disturbances. Radiofrequency ablation provides an alternative in the management of electrical storm in the case of failure of the medical therapy.
本文综述了射频消融在电风暴急性期处理中的作用。电风暴定义为24小时内发生三次或三次以上需要干预的室颤或室速发作。电风暴的处理包括抗心律失常治疗,如使用β受体阻滞剂,以及纠正引发原因,如心肌缺血和电解质紊乱。在药物治疗失败的情况下,射频消融可作为电风暴处理的一种替代方法。