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孕期成功进行无荧光射频导管消融治疗室上性心动过速

Successful fluoroless radiofrequency catheter ablation of supraventricular tachycardia during pregnancy.

作者信息

Kaspar Georgy, Sanam Kumar, Gundlapalli Sujana, Shah Dipak

机构信息

Department of Cardiology Providence-Providence Park Hospital/Michigan State University College of Human Medicine Southfield MI USA.

Department of Cardiac Electrophysiology Providence-Providence Park Hospital/Michigan State University College of Human Medicine Southfield MI USA.

出版信息

Clin Case Rep. 2018 May 29;6(7):1334-1337. doi: 10.1002/ccr3.1623. eCollection 2018 Jul.

DOI:10.1002/ccr3.1623
PMID:29988698
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6028421/
Abstract

Even in the absence of underlying heart disease, pregnancy is known to increase susceptibility supraventricular tachycardia (SVT). This brings a management challenge, mainly due to concerns about pharmacotherapy and radiation to the fetus. This case highlights the capability of using fluoroless mapping technologies to treat refractory arrhythmia cases safely and successful.

摘要

即使在没有潜在心脏病的情况下，已知怀孕会增加发生室上性心动过速（SVT）的易感性。这带来了管理挑战，主要是由于对药物治疗和胎儿辐射的担忧。本病例突出了使用无荧光标测技术安全、成功治疗难治性心律失常病例的能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b2a/6028421/c5508aa128a7/CCR3-6-1334-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b2a/6028421/fac190f0ca93/CCR3-6-1334-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b2a/6028421/adfc7e127daa/CCR3-6-1334-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b2a/6028421/c5508aa128a7/CCR3-6-1334-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b2a/6028421/fac190f0ca93/CCR3-6-1334-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b2a/6028421/adfc7e127daa/CCR3-6-1334-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b2a/6028421/c5508aa128a7/CCR3-6-1334-g003.jpg

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本文引用的文献

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Ablation of severe drug-resistant tachyarrhythmia during pregnancy.妊娠期间严重药物抵抗性快速性心律失常的消融治疗。
J Cardiovasc Electrophysiol. 2010 Aug 1;21(8):877-82. doi: 10.1111/j.1540-8167.2010.01727.x. Epub 2010 Feb 11.
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Radiation exposure and pregnancy: when should we be concerned?辐射暴露与怀孕：我们何时应予以关注？
Radiographics. 2007 Jul-Aug;27(4):909-17; discussion 917-8. doi: 10.1148/rg.274065149.
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Recurrence rates of arrhythmias during pregnancy in women with previous tachyarrhythmia and impact on fetal and neonatal outcomes.
妊娠期室上性心动过速：妊娠与分娩期治疗差异
Cureus. 2021 Oct 4;13(10):e18479. doi: 10.7759/cureus.18479. eCollection 2021 Oct.
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Management of tachyarrhythmias in pregnancy - A review.妊娠期快速性心律失常的管理——综述
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The use of intracardiac echocardiography catheters in endocardial ablation of cardiac arrhythmia: Meta-analysis of efficiency, effectiveness, and safety outcomes.心内超声心动图导管在心内消融治疗心律失常中的应用：有效性、效果和安全性结局的荟萃分析。
J Cardiovasc Electrophysiol. 2020 Mar;31(3):664-673. doi: 10.1111/jce.14367. Epub 2020 Jan 30.
既往有快速性心律失常的女性孕期心律失常的复发率及其对胎儿和新生儿结局的影响。
Am J Cardiol. 2006 Apr 15;97(8):1206-12. doi: 10.1016/j.amjcard.2005.11.041. Epub 2006 Mar 3.
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Successful radiofrequency catheter ablation of left lateral accessory pathway using transseptal approach during pregnancy.
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Conceptus radiation dose and risk from cardiac catheter ablation procedures.心脏导管消融术对胎儿的辐射剂量与风险
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Antiarrhythmic drug therapy during pregnancy.孕期抗心律失常药物治疗
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