Jacobson Jason T
Complex Arrhythmia Ablation Program, New York Medical College, Westchester Medical Center, Macy 130, 100 Woods Road, Valahalla, NY 10595, USA.
Cardiol Clin. 2019 Feb;37(1):55-62. doi: 10.1016/j.ccl.2018.08.005. Epub 2018 Oct 29.
Patients with hypertrophic cardiomyopathy may present with a number of arrhythmias. Although not unique, arrhythmias in hypertrophic cardiomyopathy require management approaches that may differ from other populations. Standard permanent pacemaker indications can be seen, but unique applications and implantation considerations pertain to this population. Ventricular and supraventricular tachyarrhythmias may be experienced by patients with hypertrophic cardiomyopathy, treatment for which must be tailored to the hypertrophic cardiomyopathy substrate. In this article, permanent pacemaker indications, techniques and special considerations, and specific management issues of ventricular and supraventricular tachyarrhythmias in hypertrophic cardiomyopathy, are discussed.
肥厚型心肌病患者可能会出现多种心律失常。虽然并非肥厚型心肌病所特有，但该疾病中的心律失常需要采用可能不同于其他人群的管理方法。可以看到标准的永久性起搏器适应证，但该人群有独特的应用和植入注意事项。肥厚型心肌病患者可能会经历室性和室上性快速心律失常，其治疗必须根据肥厚型心肌病的病理改变进行调整。本文讨论了肥厚型心肌病中永久性起搏器的适应证、技术和特殊注意事项，以及室性和室上性快速心律失常的具体管理问题。
