Heart and Vascular Research Center, MetroHealth Campus of Case Western Reserve University, 2500 MetroHealth Medical Drive, Cleveland, OH 44109, USA.
Heart and Vascular Research Center, MetroHealth Campus of Case Western Reserve University, 2500 MetroHealth Medical Drive, Cleveland, OH 44109, USA.
Med Clin North Am. 2019 Sep;103(5):881-895. doi: 10.1016/j.mcna.2019.05.008.
Ventricular tachycardia is commonly seen in medical practice. It may be completely benign or portend high risk for sudden cardiac death. Therefore, it is important that clinicians be familiar with and able to promptly recognize and manage ventricular tachycardia when confronted with it clinically. In many cases, curative therapy for a given ventricular arrhythmia may be provided after a thorough understanding of the underlying substrate and mechanism. In this article, the authors broadly review the current classification of the different ventricular arrhythmias encountered in medical practice, provide brief background regarding the different mechanisms, and discuss practical diagnosis and management scenarios.
室性心动过速在医学实践中很常见。它可能是完全良性的，也可能预示着发生心源性猝死的高风险。因此，临床医生熟悉并能够在临床遇到室性心动过速时迅速识别和处理它非常重要。在许多情况下，在充分了解潜在的基质和机制后，可能会为特定的室性心律失常提供治疗。本文作者广泛回顾了目前在医学实践中遇到的不同室性心律失常的分类，简要介绍了不同机制，并讨论了实际的诊断和管理情况。
