Schumacher Burghard, de Waha Suzanne, Tilz Roland R
Klinik für Innere Medizin 2, Westpfalz Klinikum GmbH, Kaiserslautern, Deutschland.
Klinik für Rhythmologie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23552, Lübeck, Deutschland.
Herzschrittmacherther Elektrophysiol. 2024 Dec;35(4):296-302. doi: 10.1007/s00399-024-01050-w. Epub 2024 Nov 11.
Given the background of optimizing financial and personnel resources while aligning with patient needs, the concept of same-day discharge following pulmonary vein isolation (PVI) appears attractive. However, a non-selective approach to different strategies is inappropriate, as is often the case in medicine. A "one size fits all" approach is therefore not advisable for outpatient PVI. Instead, the primary focus should be on identifying which patients can safely and effectively undergo PVI in an outpatient setting and which patients would benefit from inpatient care. Both procedural and patient-specific criteria should be considered in this context. In addition, structural prerequisites must also be met. Ultimately, the decision as to whether outpatient PVI is feasible should remain with the treating physician and the patient.
鉴于在优化财务和人力资源的同时满足患者需求的背景,肺静脉隔离(PVI)后当日出院的概念显得很有吸引力。然而,对不同策略采取非选择性的方法是不合适的,医学中经常如此。因此,门诊PVI采用“一刀切”的方法并不可取。相反,主要重点应是确定哪些患者能够在门诊环境中安全有效地接受PVI,以及哪些患者将从住院治疗中受益。在这种情况下,应同时考虑手术标准和患者特定标准。此外,还必须满足结构上的先决条件。最终,门诊PVI是否可行的决定应由主治医生和患者做出。