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阵发性室上性心动过速

Paroxysmal Supraventricular Tachycardia.

作者信息

Arnold Casey, Martinez Martinez Carmen J

机构信息

Emergency Medicine, Advent Health Florida Hospital, Orlando, USA.

出版信息

Cureus. 2019 Jun 11;11(6):e4883. doi: 10.7759/cureus.4883.

DOI:10.7759/cureus.4883
PMID:31417828
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6687468/
Abstract

Supraventricular tachycardia is a common emergency department (ED) pathology that frequently leads to hospital admission, but this may not be necessary in all cases. Here, we present a supraventricular tachycardia patient who was discharged from the ED after vagal maneuvers. This case demonstrates evidence that judicious emergency physicians can discharge supraventricular tachycardia patients home safely and gives impetus for a data-driven protocol for discharging these patients.

摘要

室上性心动过速是急诊科常见的病症,常导致患者住院,但并非所有情况都需要如此。在此,我们介绍一位通过迷走神经刺激法后从急诊科出院的室上性心动过速患者。该病例表明,明智的急诊科医生能够安全地让室上性心动过速患者出院,并推动制定基于数据的此类患者出院方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb29/6687468/6477d9eb37c4/cureus-0011-00000004883-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb29/6687468/26333f780fad/cureus-0011-00000004883-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb29/6687468/6477d9eb37c4/cureus-0011-00000004883-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb29/6687468/26333f780fad/cureus-0011-00000004883-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb29/6687468/6477d9eb37c4/cureus-0011-00000004883-i02.jpg

相似文献

1
Paroxysmal Supraventricular Tachycardia.阵发性室上性心动过速
Cureus. 2019 Jun 11;11(6):e4883. doi: 10.7759/cureus.4883.
2
Initial and Sustained Response Effects of 3 Vagal Maneuvers in Supraventricular Tachycardia: A Randomized, Clinical Trial.三种迷走神经手法对室上性心动过速的初始和持续反应效果:一项随机临床试验
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The Modified Valsalva Maneuver for Reversion of Stable Supraventricular Tachycardia: Lessons Learned From the REVERT Trial.用于转复稳定型室上性心动过速的改良瓦尔萨尔瓦动作:从REVERT试验中吸取的经验教训。
Adv Emerg Nurs J. 2019 Jul/Sep;41(3):192-197. doi: 10.1097/TME.0000000000000252.
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Termination of paroxysmal supraventricular tachycardia by intranasal swab insertion.经鼻腔拭子插入终止阵发性室上性心动过速。
Am J Emerg Med. 2023 Oct;72:222.e3-222.e4. doi: 10.1016/j.ajem.2023.08.002. Epub 2023 Aug 2.
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Paroxysmal supraventricular tachycardia: outcome after ED care.阵发性室上性心动过速:急诊护理后的结局
Am J Emerg Med. 2001 Jan;19(1):40-2. doi: 10.1053/ajem.2001.20030.
6
Vagal techniques for termination of paroxysmal supraventricular tachycardia.用于终止阵发性室上性心动过速的迷走神经技术。
Am J Cardiol. 1980 Oct;46(4):655-64. doi: 10.1016/0002-9149(80)90517-2.
7
Treatment of paroxysmal supraventricular tachycardia in the emergency department by clinical decision analysis.
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8
Electrophysiological mechanisms and determinants of vagal maneuvers for termination of paroxysmal supraventricular tachycardia.用于终止阵发性室上性心动过速的迷走神经手法的电生理机制及决定因素。
Circulation. 1998 Dec 15;98(24):2716-23. doi: 10.1161/01.cir.98.24.2716.
9
Intranasal etripamil for rapid treatment of paroxysmal supraventricular tachycardia.鼻腔内给予依托咪酯治疗阵发性室上性心动过速。
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10
Comparison of treatment of supraventricular tachycardia by Valsalva maneuver and carotid sinus massage.Valsalva动作与颈动脉窦按摩治疗室上性心动过速的比较。
Ann Emerg Med. 1998 Jan;31(1):30-5.

本文引用的文献

1
Postural modification to the standard Valsalva manoeuvre for emergency treatment of supraventricular tachycardias (REVERT): a randomised controlled trial.改良体位的瓦氏动作治疗室上性心动过速的急诊治疗(REVERT):一项随机对照试验。
Lancet. 2015 Oct 31;386(10005):1747-53. doi: 10.1016/S0140-6736(15)61485-4. Epub 2015 Aug 24.
2
Troponin elevation in patients with supraventricular tachycardia: what does it mean?室上性心动过速患者肌钙蛋白升高:这意味着什么?
Can J Cardiol. 2011 Jan-Feb;27(1):110-1. doi: 10.1016/j.cjca.2010.12.003.
3
Troponin elevation in supraventricular tachycardia: primary dependence on heart rate.
室上性心动过速时肌钙蛋白升高:主要依赖于心率。
Can J Cardiol. 2011 Jan-Feb;27(1):105-9. doi: 10.1016/j.cjca.2010.12.004.
4
Relationship of myocardial ischemia and injury to coronary artery disease in patients with supraventricular tachycardia.室上性心动过速患者中心肌缺血及损伤与冠状动脉疾病的关系。
Am J Cardiol. 2010 Aug 1;106(3):374-7. doi: 10.1016/j.amjcard.2010.03.035.
5
Prognostic significance of cardiac troponin I levels in hospitalized patients presenting with supraventricular tachycardia.住院的室上性心动过速患者中心肌肌钙蛋白I水平的预后意义
Medicine (Baltimore). 2010 May;89(3):141-148. doi: 10.1097/MD.0b013e3181dddb3b.
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U.S. emergency department visits for supraventricular tachycardia, 1993-2003.1993年至2003年美国急诊科室上性心动过速就诊情况。
Acad Emerg Med. 2007 Jun;14(6):578-81. doi: 10.1197/j.aem.2007.01.013. Epub 2007 Apr 20.
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Best evidence topic report. Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary.最佳证据主题报告。迈向循证急诊医学:来自曼彻斯特皇家医院的最佳BETs。
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