心肌梗死患者抢救消融电风暴-英文课件精选.pptVIP

Rescue Ablation of Electrical Storms in a Patient with Remote Myocardial Infarction Katherine Fan Grantham Hospital Hong Kong SAR Patient Mr. L M/64 History of inferior MI 1989- MVR for papillary muscle rupture and severe MR Ischemic cardiomyopathy (EF 30%) VT 1997- ICD implanted / generator change 2002 Chronic smoker/ COPD Ventricular Arrhythmias ICD (single-chamber) 1997 Amiodarone added in 2001 for PAF/ NSVT Recurrent VT episodes in 3/2005 with increased dosage of amiodarone Developed SOB- diagnosed amiodarone induced pulmonary fibrosis: Amiodarone stopped/ High dose steroids required ?-bl