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心动过速性心肌病

Tachycardia induced Cardiomyopathy.

作者信息

Kim Do Young, Kim Sung Hea, Ryu Kyu Hyung

机构信息

Cardiovascular Center, Korea University Anam Hospital, Seoul, Korea.

Division of Cardiology, Department of Medicine, Konkuk University Medical Center, Seoul, Korea.

出版信息

Korean Circ J. 2019 Sep;49(9):808-817. doi: 10.4070/kcj.2019.0199.

Abstract

Recent studies on radiofrequency catheter ablation (RFCA) in atrial fibrillation show its effectiveness in heart failure (HF) patients; hence, tachycardia-induced cardiomyopathy (T-CMP) is gaining attention. Tachycardia-mediated cardiomyopathy is a reversible left ventricular (LV) dysfunction, which can be induced by any tachyarrhythmia. Early recognition of T-CMP with appropriate treatment of the arrhythmia culprit will lead to the recovery of LV function. Patients with tachycardia and LV dysfunction should be suspected of having T-CMP, with or without established etiology of HF, because T-CMP may present by itself or contribute as a co-existent component. Therapeutic options include rate control, anti-arrhythmic drugs, or catheter ablation. Unlike in animal models, clinical data on human T-CMP is limited. Hence, future research should be more focused on tachyarrhythmia-induced cardiomyopathy as its burden is increasing.

摘要

近期关于心房颤动射频导管消融术(RFCA)的研究表明,其对心力衰竭(HF)患者有效;因此,心动过速性心肌病(T-CMP)日益受到关注。心动过速介导的心肌病是一种可逆的左心室(LV)功能障碍,可由任何快速性心律失常诱发。早期识别T-CMP并对心律失常的病因进行适当治疗,将使左心室功能恢复。心动过速和左心室功能障碍的患者应怀疑患有T-CMP,无论是否有明确的HF病因,因为T-CMP可能单独出现或作为并存成分存在。治疗选择包括心率控制、抗心律失常药物或导管消融。与动物模型不同,关于人类T-CMP的临床数据有限。因此,由于其负担在增加,未来的研究应更多地聚焦于快速性心律失常诱发的心肌病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe88/6713829/55dd0b7c673d/kcj-49-808-g001.jpg

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