[房室结折返性心动过速。诊断与治疗]
[AV nodal reentrant tachycardia. Diagnosis and therapy].
作者信息
von Bary Christian, Eckardt Lars, Steven Daniel, Neuberger Hans-Ruprecht, Tilz Roland Richard, Bonnemeier Hendrik, Thomas Dierck, Deneke Thomas, Estner Heidi L, Kuniss Malte, Luik Armin, Sommer Philipp, Voss Frederik, Meyer Christian, Shin D I, Kriatselis Charalampos
机构信息
Medizinische Klinik I, Rotkreuzklinikum München, Nymphenburgerstr. 163, 80634, Munich, Deutschland.
Abteilung für Rhythmologie Kardiologie und Angiologie, Univeritätsklinikum Münster, Münster, Deutschland.
出版信息
Herzschrittmacherther Elektrophysiol. 2015 Dec;26(4):351-8. doi: 10.1007/s00399-015-0399-x.
The AV nodal reentrant tachycardia (AVNRT) is one of the most common arrhythmias encountered in clinical practice. It is characterized by a constant heart rate and an on/off phenomenon. The clinical symptoms may include palpitations, anxiety, polyuria, and dyspnea. Typically, tachycardia may be disrupted by vagal maneuvers in many patients. First-line treatment of symptomatic AVNRT is radiofrequency ablation. The present article deals with the characteristics, differential diagnosis and treatment of AVNRT in the EP lab. It is the second part of a series of manuscripts which may facilitate further education in the specific field of electrophysiology.
房室结折返性心动过速（AVNRT）是临床实践中最常见的心律失常之一。其特点是心率恒定且有突发突止现象。临床症状可能包括心悸、焦虑、多尿和呼吸困难。通常，许多患者的心动过速可通过迷走神经手法终止。有症状的AVNRT的一线治疗是射频消融。本文论述了在电生理实验室中AVNRT的特点、鉴别诊断及治疗。它是一系列手稿的第二部分，可能有助于在电生理特定领域的进一步教育。
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