Cerebrovascular Center, Neurological Institute, Cleveland Clinic, Cleveland, OH, United States.
Neurosciences Critical Care, Departments of Anesthesiology and Critical Care Medicine, Neurology, and Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Handb Clin Neurol. 2021;177:151-162. doi: 10.1016/B978-0-12-819814-8.00004-4.
Tachyarrhythmias are abnormal heart rhythms with a ventricular rate of 100 or more beats per minute. These rhythms are classified as either narrow or wide-complex tachycardia with further subdivision into regular or irregular rhythm. Patients are frequently symptomatic presenting with palpitations, diaphoresis, dyspnea, chest pain, dizziness, and syncope. Sudden cardiac death may occur with certain arrhythmias. Recognizing tachyarrhythmia and understanding its management is important as a wide spectrum of neurologic complications have been associated with such arrhythmias. The purpose of this chapter is to provide a comprehensive overview on the neurologic complications of tachyarrhythmias, neurologic adverse events of antiarrhythmic interventions, and neurologic conditions that can precipitate tachyarrhythmia.
心动过速是指心室率每分钟 100 次或以上的异常心律。这些心律可分为窄或宽复合性心动过速，并进一步细分为规则或不规则节律。患者常出现心悸、出汗、呼吸困难、胸痛、头晕和晕厥等症状。某些心律失常可导致心源性猝死。识别心动过速并了解其治疗方法很重要，因为此类心律失常与广泛的神经并发症有关。本章的目的是全面概述心动过速的神经并发症、抗心律失常干预的神经不良事件以及可能引发心动过速的神经状况。
