室上性心动过速的诊断挑战：利钠肽的预测价值
Diagnostic challenges in supraventricular tachycardia: anticipating value of natriuretic peptides.
作者信息
Yetkin Ertan
机构信息
Division of Cardiology, Yenisehir Hospital, Mersin, Turkey.
出版信息
Cardiovasc Endocrinol Metab. 2018 May 16;7(2):34-36. doi: 10.1097/XCE.0000000000000148. eCollection 2018 Jun.
Abstract
It is important not to overlook supraventricular tachycardia (SVT) in patients complaining of palpitation or tachycardia-related symptoms but with normal ECG and heart rate in emergency department or outpatient clinics. The severity and presentation of symptoms is highly variable and depends on features including heart rate, duration of tachycardia, underlying heart disease, and individual patient perception. Early measurement of natriuretic peptides in patients presenting with palpitation and/or tachycardia-related symptoms would guide the clinician to rule out tachycardia and/or SVT. High levels of natriuretic peptides within 30 min of postattack period would certainly increase the likelihood of SVT.
摘要
对于在急诊科或门诊主诉心悸或心动过速相关症状，但心电图和心率正常的患者，不可忽视室上性心动过速（SVT）。症状的严重程度和表现差异很大，取决于心率、心动过速持续时间、基础心脏病以及患者个体感知等因素。对于出现心悸和/或心动过速相关症状的患者，早期测量利钠肽将有助于临床医生排除心动过速和/或室上性心动过速。发作后30分钟内利钠肽水平升高肯定会增加室上性心动过速的可能性。
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