室性早搏的治疗策略-医学课件.pptVIP

LVEF≤40%是识别高危患者的分界线 LVEF为30%~40%时发生心律失常事件的相对风险4.3%，敏感性和特异性分别为59.1%和77.8% Holter发现NSVT，LVEF30%者相对危险度是VEF≥30% 且不伴有NSVT者的8.2倍 多项循证医学结果表明，LVEF 30%者总体死亡率和心律失常性死亡的发生率高 多变量分析中，LVEF降低是唯一具有预测致死性心律失常的重要因子 ACC/AHA/ESC 2006 guidelines for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death—executive summary[J].European Heart Journal,2006 ,27(17):2099-2140 curves of survival according to LVEF Watanabe J .Circulation. 2001;104:1911-1916 N=5438 without HF 3 Years Complex PVBs and heart function GISSI-2 Without LV dysfunction With LV dysfunction Frequency PVB