室上速2015指南解读.pdf

288 Chinese Journal of Practical Internal Medicine April 2016 Vol. 36 No. 4 指南与共识 2015年ACC/AHA/HRS成人室上性心动过速 管理指南解读 鲍慧慧，程晓曙 DOI：10.7504/nk2016030203　　中图分类号：R541.7　　文献标识码：A 摘要： 近期美国心脏病学会(ACC)、美国心脏协会(AHA)和美国心律协会(HRS)联合发布了“室上性心动过速(SVT) 管理指南”，指南陈述了SVT完整的定义、流行病学及关于机制不明的SVT患者初始评估，并制定急、慢性发作的处 理流程图。新指南覆盖了所有类型的SVT，包括规律的窄QRS心动过速和不规律SVT(如不规则房扑和多源性房 速)，但是不包括心房颤动。新指南采用了ACC/AHA最新发布的新版指南推荐分类系统，该系统更加精确，而且更 加依赖高质量的证据。 关键词 ： 室上性心动过速；管理指南；药物治疗；导管消融 Interpretation of 2015 ACC/AHA/ HRS guideline for the management of adult patients with supraventricular tachycardia.　 　BAO Hui-hui, CHENG X iao-shu. Department of Cardiology, the Second Affilated Hospital Nanchang University, Nanchang 650051, China Corresponding author: CHENG Xiao-shu, E-mail: xiaoshumenfan@126.com Abstract: Recently, ACC/AHA/HRS jointly issued Guideline for the Management of Adult Patients With Supraventricular Tachycardia. The guidelines clarify the definition and the epidemiology of SVT and discussion on the initial evaluation of patients with unknown mechanism of SVT’s, and draw a flowchart for management of acute and chronic attack. New guideline covers all types of SVT expcept atrial fibrillation ,including regular narrow QRS tachycardias and irregular SVTs (atrial flutter with irregular ventricular response and multifocal atrial tachycardia ).The guildlines are based on the newest guideline recommend classification system published by ACC/ AHA, which is more accurate, and more dependent on high-quality evidence. Keywords: supraventricular tachycardia; management recommendations; pharmacological therapy; catheter ablation 程晓曙，主任医师、二级教授、博 患者初始评估，并制定急、慢性发作的处理流程图。 士生导师，南昌大学第二附属医院院 新指南覆盖了所有类型的 SVT，包括规律的窄 QRS 长。兼任中国研究型医院学会副