心搏過慢和心臟傳導延遲之處置

The Management of Bradycardia and Cardiac Conduction Delay

陳永平(Yung-Ping Chen) ； 洪培豪(Peir-Haur Hung) ； 陳宗賢(Tsung-Hsien Chen) ； 張瑞月(Rei-Yeuh Chang)

《北市醫學雜誌》 16卷2期 (2019/06) Pp. 148-156

https://doi.org/10.6200/TCMJ.201906_16(2).0006

摘要

隨著人口的老化，心臟疾病日益增加。台灣目前已經正式進入高齡化社會，預估2025年，老年人口將達到20%，成為超高齡社會。這些老人心臟病中，有一部份是心搏過慢和心臟傳導阻礙所引起。如何正確診斷和適當的處置是極為重要的。美國心臟學會在2018年發表了評估與治療心搏過慢及心臟傳導阻滯之指引，本文節錄轉譯指引，以期對於臨床醫師面對此類型病患時有所助益。

關鍵字

心搏過緩 ； 心臟傳導阻礙 ； 心臟節律器 ； 病人自主權

並列摘要

The prevalence of heart disease is growing along with the aging population. Taiwan has now become an old-aged society. Taiwan population is estimated to consist 20% of elderly in 2025 and will become a super old-aged society. Bradycardia and cardiac conduction disturbance represent a main portion of heart diseases among the elderly. It is essential to diagnose the diseases correctly and carry out appropriate treatments accordingly. The American Society of Cardiology has published the guidelines for the assessment and treatment of bradycardia and cardiac conduction disturbance. We translated part of the contents and anticipate to be helpful for physicians dealing with the patients with the diseases.

並列關鍵字

bradycardia ； cardiac conduction delay ； pacemaker ； his bundle pacing ； patient autonomy