Polymorphic Ventricular Tachycardia Terminology, Mechanism, Diagnosis, and Emergency Therapy

被引：39

作者：

Viskin, Sami ^{[1
,2
]}

Chorin, Ehud ^{[1
,2
]}

Viskin, Dana ^{[1
,2
]}

Hochstadt, Aviram ^{[1
,2
]}

Schwartz, Arie Lorin ^{[1
,2
]}

Rosso, Raphael ^{[1
,2
]}

机构：

[1] Tel Aviv Univ, Dept Cardiol, Tel Aviv Sourasky Med Ctr, Weizman 6, IL-64239 Tel Aviv, Israel

[2] Tel Aviv Univ, Sackler Sch Med, Tel Aviv, Israel

来源：

CIRCULATION | 2021年 / 144卷 / 10期

关键词：

Brugada syndrome; quinidine; tachycardia; ventricular; torsade de pointes; ventricular fibrillation; LONG-QT SYNDROME; TORSADE-DE-POINTES; SHORT-COUPLED VARIANT; SUDDEN CARDIAC DEATH; ACUTE MYOCARDIAL-INFARCTION; SODIUM-CHANNEL BLOCKERS; ST SEGMENT ELEVATION; BUNDLE-BRANCH BLOCK; BRUGADA SYNDROME; ARRHYTHMIC EVENTS;

D O I：

10.1161/CIRCULATIONAHA.121.055783

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Polymorphic ventricular tachyarrhythmias are highly lethal arrhythmias. Several types of polymorphic ventricular tachycardia have similar electrocardiographic characteristics but have different modes of therapy. In fact, medications considered the treatment of choice for one form of polymorphic ventricular tachycardia, are contraindicated for the other. Yet confusion about terminology, and thus diagnosis and therapy, continues. We present an in-depth review of the different forms of polymorphic ventricular tachycardia and propose a practical step-by-step approach for distinguishing these malignant arrhythmias.

引用

页码：823 / 839

页数：17

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