内科学 心律失常朱文青.ppt

Arrhythmia;Conduction and anatomy of heart;Conduction system;Stable SVT is generally well tolerated in patients without underlying heart disease!!!!!??? but may lead to myocardial ischemia or congestive heart failure in patients with coronary disease, valvular abnormalities, and systolic or diastolic myocardial dysfunction. Ventricular tachycardia, if lasting 10~30 secs, often results in hemodynamic compromise and is more likely to deteriorate into ventricular fibrillation. ;RATE RHYTHM;RATE RHYTHM;MECHANISMS OF ARRHYTHMIAS;MECHANISMS OF ARRHYTHMIAS;MECHANISMS OF ARRHYTHMIAS;MECHANISMS OF ARRHYTHMIAS;TECHNIQUES FOR EVALUATING RHYTHM DISTURBANCES;TECHNIQUES FOR EVALUATING RHYTHM DISTURBANCES;TECHNIQUES FOR EVALUATING RHYTHM DISTURBANCES;Electrocardiographic Monitoring;Electrocardiographic Monitoring;TECHNIQUES FOR EVALUATING RHYTHM DISTURBANCES;TECHNIQUES FOR EVALUATING RHYTHM DISTURBANCES;TECHNIQUES FOR EVALUATING RHYTHM DISTURBANCES;TECHNIQUES FOR EVALUATING RHYTHM DISTURBANCES ;Autonomic Testing ( Tilt Table Testing ) with recurrent syncope or near Syncope, arrhythmias are no cause. This is particularly true when the patient has no evidence of associated heart disease by history, examination, ECG, or noninvasive testing. Syncope may be neurocardiogenic in origin, mediated by excessive vagal stimulation or an imbalance between sympathetic and parasympathetic autonomic activity. ;TECHNIQUES FOR EVALUATING RHYTHM DISTURBANCES;TECHNIQUES FOR EVALUATING RHYTHM DISTURBANCES;Antiarrhythmia drug;Antiarrhythmia drug;Antiarrhythmia drug;Antiarrhythmia drug;Drugs;Antiarrhythmia drug--Risk;Radiofrequency Ablation;Radiofrequency Ablation;Radiofrequency Ablation;32;33;34;AVRT ablation;36;AVNRT Ablation;Atrial tachycardia--ablation;Atrial fibrillation accounts for 1/3 of all patient discharges with arrhythmia as principal diagnosis.;SUPRAVENTRICULAR ARRHYTHMIAS— sinus bradycardia;Sinus Bradycardia;Sinus Bradycar