室上性心动过速课件_1.pptVIP

Supraventricular Tachycardias David Melvin, MD 10/1/2003 Introduction Pathophysiology Diagnosis Treatment Acute Chronic Excluding Atrial Fibrillation and Flutter Epidemiology Common problem presenting ED’s Prevalence 2.25/1000 Orejarena, J AM Coll Card. 1998;31:150-7 Mean age of onset 57 years Ranging from infancy to 90 years old In this study, younger patients (mean of 37) were more likely to present to the ED and less likely to have structural heart disease(69%) Mechanisms Two basic mechanisms leading to all Tachyarrhythmias Impaired impulse initiation problems of abnormal automaticity Abnor