Ventricular arrhythmia diagnosis and treatment of storm.docVIP

 PAGE \* MERGEFORMAT 18 Ventricular arrhythmia diagnosis and treatment of storm [Keywords:] ventricular arrhythmia storm Ventricular arrhythmia storm (ventricular arrhythmia storms) occurred within 24h refers to ≥ 2 ~ 3 times of ventricular tachycardia and / or ventricular fibrillation, causing serious hemodynamic barriers or require immediate electrical cardioversion defibrillation therapy, etc. critical nature of the acute syndrome, referred to as electrical storm (electrical storm). Because of its high mortality, handling difficult and the prognosis poor, but in recent years Beishou clinical concern. A ventricular arrhythmia storm (electrical storm) common causes of and incentives 1.1 organic heart disease Is the most common causes of electrical storm. 1.1.1 anatomical abnormalities of cardiac heart disease Including ① Acute coronary syndrome; ② cardiomyopathy; ③ all kinds of heart disease caused by left ventricular hypertrophy with cardiac dysfunction; ④ valvular heart disease; ⑤ acute myocarditis; ⑥ congenital heart disease, acute pericarditis, acute infective endocarditis and so on. Among them, acute coronary syndrome, the highest incidence of electrical storm, the domestic has been reported due to acute myocardial infarction complicated by recurrent sustained ventricular tachycardia and other electrical cardioversion in the 1d in more than 50 times, 20d-electric cardioversion in more than 700 . The electrical storm can often cause sudden cardiac death. 1.1.2 Structure of the normal heart anatomy heart disease Mainly refers to the original (special)-onset hereditary ion channel diseases such as arrhythmia, including ① idiopathic long QT syndrome; ② primary short-QT syndrome; ③ Brugada syndrome; ④ catecholamine-sensitive polymorphic ventricular tachycardia too fast; ⑤ idiopathic ventricular tachycardia; ⑥ familial paroxysmal ventricular fibrillation; ⑦ familial sudden death syndrome, and so on. Of heart disease such a high incidence