Division of Cardiovascular Diseases, Mayo Clinic Hospital, Phoenix, AZ, USA.
Department of Anesthesiology, Allegheny Health Network, Pittsburgh, PA, USA.
Br J Anaesth. 2018 Apr;120(4):629-644. doi: 10.1016/j.bja.2017.12.040. Epub 2018 Feb 17.
QT prolongation can be attributable to various causes that can be categorised as acquired or congenital. Arrhythmias related to QT prolongation can result in clinical presentations, such as syncope and sudden cardiac death. The perioperative period presents a number of issues that may affect a patient's risk of developing polymorphic ventricular tachycardia or torsades de pointes. Although most patients may have an unremarkable perioperative course, some may have complications; this review article aims to help clinicians avoid potential complications, and to help them address treatment for perioperative issues that may occur.
QT 间期延长可归因于多种原因,可分为获得性或先天性。与 QT 间期延长相关的心律失常可导致临床症状,如晕厥和心源性猝死。围手术期存在许多可能影响患者发生多形性室性心动过速或尖端扭转型室性心动过速风险的问题。虽然大多数患者的围手术期过程可能无异常,但有些患者可能出现并发症;本文旨在帮助临床医生避免潜在的并发症,并帮助他们处理可能发生的围手术期问题的治疗。