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1
Risk Stratification of an Accessory Pathway Using Isoproterenol after Cardiac Arrest.心脏骤停后使用异丙肾上腺素对附加通路进行风险分层
J Atr Fibrillation. 2018 Jun 30;11(1):2054. doi: 10.4022/jafib.2054. eCollection 2018 Jun-Jul.
2
Effect of flestolol on ventricular rate during atrial fibrillation in Wolff-Parkinson-White syndrome.氟司洛尔对预激综合征心房颤动时心室率的影响。
Am J Cardiol. 1988 Jul 1;62(1):78-82. doi: 10.1016/0002-9149(88)91368-9.
3
Atrial fibrillation in patients with an accessory pathway: importance of the conduction properties of the accessory pathway.旁路患者的心房颤动：旁路传导特性的重要性。
J Am Coll Cardiol. 1991 May;17(6):1352-6. doi: 10.1016/s0735-1097(10)80146-9.
4
Impact of clinical history and electrophysiologic characterization of accessory pathways on management strategies to reduce sudden death among children with Wolff-Parkinson-White syndrome.旁道的临床病史和电生理特征对降低预激综合征患儿猝死管理策略的影响
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Comparison of isoproterenol and exercise tests in asymptomatic subjects with Wolff-Parkinson-White syndrome.无症状预激综合征患者异丙肾上腺素试验与运动试验的比较。
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Am J Cardiol. 1982 Jul;50(1):180-4. doi: 10.1016/0002-9149(82)90026-1.
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Transesophageal versus intracardiac atrial stimulation in assessing anterograde conduction properties of the accessory pathway in Wolff-Parkinson-White syndrome.经食管与心内心房刺激在评估预激综合征旁路前向传导特性中的应用
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Electrophysiologic evaluation of asymptomatic patients with the Wolff-Parkinson-White pattern.无症状预激综合征患者的电生理评估。
Pacing Clin Electrophysiol. 1989 Mar;12(3):413-20. doi: 10.1111/j.1540-8159.1989.tb02678.x.
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Pre-excited RR intervals during atrial fibrillation in the Wolff-Parkinson-White syndrome: influence of the atrioventricular node refractory period.预激综合征患者房颤时的预激RR间期：房室结不应期的影响
J Am Coll Cardiol. 1991 Dec;18(7):1722-6. doi: 10.1016/0735-1097(91)90510-g.

本文引用的文献

1
2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society.2015年美国心脏病学会/美国心脏协会/心律学会成人室上性心动过速管理指南：执行摘要：美国心脏病学会/美国心脏协会临床实践指南工作组及心律学会的报告
J Am Coll Cardiol. 2016 Apr 5;67(13):1575-1623. doi: 10.1016/j.jacc.2015.09.019. Epub 2015 Sep 24.
2
Wolff-Parkinson-White syndrome and isoproterenol testing in children: a valid adjunct to predict risk?儿童预激综合征与异丙肾上腺素试验：预测风险的有效辅助手段？
Circ Arrhythm Electrophysiol. 2011 Feb;4(1):8-10. doi: 10.1161/CIRCEP.110.961227.
3
Wolff-Parkinson-White syndrome and atrial fibrillation. Relation between refractory period of accessory pathway and ventricular rate during atrial fibrillation.预激综合征与心房颤动。心房颤动时旁路不应期与心室率的关系。
Am J Cardiol. 1974 Dec;34(7):777-82. doi: 10.1016/0002-9149(74)90695-x.

心脏骤停后使用异丙肾上腺素对附加通路进行风险分层

Risk Stratification of an Accessory Pathway Using Isoproterenol after Cardiac Arrest.

作者信息

Burstein Barry, Barbosa Rodrigo, Larochelle Maude Peretz-, Samuel Michelle, Essebag Vidal, Bernier Martin L

机构信息

McGill University, Montreal, Quebec, Canada.

Hospital Albert Sabin, Juiz de Fora, MG, Brazil.

出版信息

J Atr Fibrillation. 2018 Jun 30;11(1):2054. doi: 10.4022/jafib.2054. eCollection 2018 Jun-Jul.

DOI:10.4022/jafib.2054
PMID:30455839
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6207237/
Abstract

A 43-year-old man presented after ventricular fibrillation cardiac arrest with evidence of pre-excited atrial fibrillation. Electrophysiology study with guideline-directed testing demonstrated a low risk accessory pathway effective refractory period, which became high-risk with isoproterenol infusion. This case represents a challenging scenario wherein a high-risk pathway may be misclassified using the currently indicated methods of risk stratification.

摘要

一名43岁男性在心室颤动心脏骤停后就诊，有预激性心房颤动的证据。通过指南指导的检测进行的电生理研究显示，旁路有效不应期风险较低，但在输注异丙肾上腺素后变为高风险。该病例代表了一种具有挑战性的情况，即使用当前指定的风险分层方法可能会对高风险旁路进行错误分类。