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心律失常性心源性猝死与植入式心脏复律除颤器在心脏淀粉样变性患者中的作用——一篇叙述性文献综述

Arrhythmic Sudden Cardiac Death and the Role of Implantable Cardioverter-Defibrillator in Patients with Cardiac Amyloidosis-A Narrative Literature Review.

作者信息

Liżewska-Springer Aleksandra, Sławiński Grzegorz, Lewicka Ewa

机构信息

Department of Cardiology and Electrotherapy, Medical University of Gdańsk, 80-210 Gdańsk, Poland.

出版信息

J Clin Med. 2021 Apr 25;10(9):1858. doi: 10.3390/jcm10091858.

Abstract

Cardiac amyloidosis (CA) is considered to be associated with an increased risk of sudden cardiac death (SCD) due to ventricular tachyarrhythmias and electromechanical dissociation. However, current arrhythmic risk stratification and the role of an implantable cardioverter-defibrillator (ICD) for primary prevention of SCD remains unclear. This article provides a narrative review of the literature on electrophysiological abnormalities in the context of ventricular arrhythmias in patients with CA and the role of ICD in terms of survival benefit in this group of patients.

摘要

心脏淀粉样变性(CA)被认为与因室性快速心律失常和电机械分离导致的心源性猝死(SCD)风险增加有关。然而,目前的心律失常风险分层以及植入式心脏复律除颤器(ICD)在SCD一级预防中的作用仍不明确。本文对CA患者室性心律失常背景下电生理异常的相关文献以及ICD在该组患者生存获益方面的作用进行了叙述性综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/294b/8123220/a037d8cffcdb/jcm-10-01858-g001.jpg

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