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電燒手術在心室頻脈處理的臨床角色

摘要


心室頻脈的處理策略主要是根據以下幾點決定:病人症狀、臨床上猝死風險的評估、病人本身的心臟疾病及不同種治療的優缺點評估。近幾十年來,電燒手術已經成為心臟結構正常患者的心室頻脈主要治療策略。隨著電燒設備的進步、三度空間立體定位的精準度越來越好,電燒手術也慢慢成為心臟結構異常所造成心室頻脈的重要治療策略,主要可以減少心室頻脈的發作頻率與復發。甚至在急性期無法用藥物控制下來的心室頻脈風暴也扮演救命的角色。這篇文章回顧了過去幾十年來有關心室頻脈者接受電燒手術的文章,重點著重在預後以及電燒手術在未來臨床治療的角色。

參考文獻


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