Treatment of Ventricular Arrhythmias and Use of Implantable Cardioverter-Defibrillators to Improve Survival in Older Adult Patients with Cardiac Disease

被引：1

作者：

Jacobson, Jason T. ^{[1
]}

Iwai, Sei ^{[1
]}

Aronow, Wilbert S. ^{[1
]}

机构：

[1] New York Med Coll, Westchester Med Ctr, Dept Med, Div Cardiol, Macy Pavil,100 Woods Rd, Valhalla, NY 10595 USA

来源：

HEART FAILURE CLINICS | 2017年 / 13卷 / 03期

关键词：

Ventricular arrhythmia; ICD; Ablation; Antiarrhythmic drugs; Autonomic modulatio; RADIOFREQUENCY CATHETER ABLATION; POLYUNSATURATED FATTY-ACIDS; RENAL SYMPATHETIC DENERVATION; LONG-DETECTION INTERVAL; MYOCARDIAL-INFARCTION; HEART-DISEASE; SUDDEN-DEATH; SINUS RHYTHM; ANTIARRHYTHMIC-DRUGS; COMBINATION THERAPY;

D O I：

10.1016/j.hfc.2017.02.015

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Ventricular arrhythmia (VA) and sudden cardiac death (SCD) are well-recognized problems in the overall heart failure population, but treatment decisions can be more complex and nuanced in older patients. Sustained VA does not always lead to SCD, but identifies a higher risk population and may cause significant symptoms. Antiarrhythmic drugs (AAD) and catheter ablation are the mainstays for prevention of VA, but have not been shown to improve mortality. The value of implantable cardiac defibrillators (ICDs) may be influenced by patient age. This article discusses long-term treatment of VA and the use of ICDs in the elderly.

引用

页码：589 / +

页数：19

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