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[2015年欧洲心脏病学会室性心律失常和心脏性猝死预防指南。有哪些新内容?]

[ESC guidelines 2015 for ventricular arrhythmias and prevention of sudden cardiac death. What is new?].

作者信息

Fink T, Kuck K H, Metzner A

机构信息

Abteilung für Kardiologie, Asklepios Klinik St. Georg, 20099, Hamburg, Lohmühlenstraße 5, Deutschland.

出版信息

Herz. 2015 Dec;40(8):1034-42. doi: 10.1007/s00059-015-4380-6.

DOI:10.1007/s00059-015-4380-6
PMID:26626552
Abstract

The new European Society of Cardiology (ESC) guidelines for the management of patients with ventricular arrhythmia and the prevention of sudden cardiac death, recently published at the annual ESC meeting in London, contain an extensive update of the recommendations for the diagnostics, drug therapy, interventional and device therapy of ventricular arrhythmia. The new recommendations for implantable cardioverter defibrillator (ICD) treatment for primary and secondary prophylaxis of sudden cardiac death can be seen as a focused update of the previously published guidelines. Pre-existing recommendations for catheter ablation of ventricular arrhythmias have been partly extensively expanded with respect to the results of recent clinical trials. The guideline committee also adapted their recommendations regarding the hereditary arrhythmia syndromes to the 2013 consensus report of the American Heart Association (AHA), the European Heart Rhythm Association (EHRA) and the Asia Pacific Heart Rhythm Society (APHRS).

摘要

欧洲心脏病学会(ESC)近期于伦敦举行的年度会议上发布了关于室性心律失常患者管理及心脏性猝死预防的新指南,其中对室性心律失常的诊断、药物治疗、介入治疗和器械治疗的建议进行了全面更新。针对心脏性猝死一级和二级预防的植入式心律转复除颤器(ICD)治疗的新建议可视为对先前发布指南的重点更新。鉴于近期临床试验结果,既往关于室性心律失常导管消融的建议部分得到了大幅扩充。指南委员会还根据美国心脏协会(AHA)、欧洲心律协会(EHRA)和亚太心律学会(APHRS)2013年的共识报告,调整了关于遗传性心律失常综合征的建议。

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[ESC guidelines 2015 for ventricular arrhythmias and prevention of sudden cardiac death. What is new?].[2015年欧洲心脏病学会室性心律失常和心脏性猝死预防指南。有哪些新内容?]
Herz. 2015 Dec;40(8):1034-42. doi: 10.1007/s00059-015-4380-6.
2
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本文引用的文献

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2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: The Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death of the European Society of Cardiology (ESC)Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC).2015年欧洲心脏病学会(ESC)室性心律失常患者管理和心脏性猝死预防指南:欧洲心脏病学会(ESC)室性心律失常患者管理和心脏性猝死预防工作组得到欧洲儿科和先天性心脏病学会(AEPC)认可。
Europace. 2015 Nov;17(11):1601-87. doi: 10.1093/europace/euv319. Epub 2015 Aug 29.
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Safety and Efficacy of the Totally Subcutaneous Implantable Defibrillator: 2-Year Results From a Pooled Analysis of the IDE Study and EFFORTLESS Registry.完全皮下植入式除颤器的安全性和有效性:IDE 研究和 EFFORTLESS 注册研究的汇总分析 2 年结果。
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Europace. 2014 Sep;16(9):1257-83. doi: 10.1093/europace/euu194.
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HRS/ACC/AHA expert consensus statement on the use of implantable cardioverter-defibrillator therapy in patients who are not included or not well represented in clinical trials.美国心力衰竭学会/美国心脏病学会/美国心脏协会关于在临床试验中未纳入或代表性不足的患者中使用植入式心脏复律除颤器治疗的专家共识声明
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Worldwide experience with a totally subcutaneous implantable defibrillator: early results from the EFFORTLESS S-ICD Registry.全球完全皮下植入式除颤器的经验:来自EFFORTLESS S-ICD注册研究的早期结果。
Eur Heart J. 2014 Jul 1;35(25):1657-65. doi: 10.1093/eurheartj/ehu112. Epub 2014 Mar 26.
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Outcomes in catheter ablation of ventricular tachycardia in dilated nonischemic cardiomyopathy compared with ischemic cardiomyopathy: results from the Prospective Heart Centre of Leipzig VT (HELP-VT) Study.与缺血性心肌病相比,扩张型非缺血性心肌病患者心室内速导管消融的结果:来自莱比锡 VT 前瞻性心脏中心(HELP-VT)研究的结果。
Circulation. 2014 Feb 18;129(7):728-36. doi: 10.1161/CIRCULATIONAHA.113.003063. Epub 2013 Nov 8.
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HRS/EHRA/APHRS expert consensus statement on the diagnosis and management of patients with inherited primary arrhythmia syndromes: document endorsed by HRS, EHRA, and APHRS in May 2013 and by ACCF, AHA, PACES, and AEPC in June 2013.遗传性原发性心律失常综合征患者诊断与管理的HRS/EHRA/APHRS专家共识声明:2013年5月由HRS、EHRA和APHRS认可,2013年6月由ACCF、AHA、PACES和AEPC认可。
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Safety and efficacy of a totally subcutaneous implantable-cardioverter defibrillator.完全皮下植入式心脏除颤器的安全性和有效性。
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Wearable cardioverter-defibrillator use in patients perceived to be at high risk early post-myocardial infarction.穿戴式心脏除颤器在心肌梗死后早期被认为高危患者中的应用。
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2013 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy: the Task Force on cardiac pacing and resynchronization therapy of the European Society of Cardiology (ESC). Developed in collaboration with the European Heart Rhythm Association (EHRA).2013年欧洲心脏病学会(ESC)心脏起搏与心脏再同步治疗指南:欧洲心脏病学会(ESC)心脏起搏与再同步治疗特别工作组。与欧洲心律协会(EHRA)合作制定。
Eur Heart J. 2013 Aug;34(29):2281-329. doi: 10.1093/eurheartj/eht150. Epub 2013 Jun 24.