无症状性室性期前收缩预后和治疗进展

被引：10

作者：

徐莉

黄晶

机构：

[1] 重庆医科大学附属第二医院心血管内科

来源：

心血管病学进展 | 2015年 / 36卷 / 06期

关键词：

室性期前收缩; 无症状; 预后; 治疗; 导管消融;

D O I：

暂无

中图分类号：

R541.7 [心律失常];

学科分类号：

100201 [内科学];

摘要：

室性期前收缩是临床实践中常见的心律失常之一。大多数室性期前收缩患者没有临床症状。没有器质性心脏病的无症状性室性期前收缩患者预后相对较好,然而,频发的无症状性室性期前收缩可能与多种心血管事件和死亡风险增加有关,而且这类患者可能更倾向于发展成心动过速诱导的心肌病。因此,对无症状性室性期前收缩患者进行合理的临床评估至关重要。决定是否针对无症状性室性期前收缩进行治疗主要基于3个因素:基础心脏疾病、室性期前收缩的负荷、心功能状况。治疗室性期前收缩的方法主要包括药物治疗和导管消融治疗。导管消融治疗已经成为治疗室性期前收缩的安全有效的方法。

引用

页码：704 / 708

页数：5

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