- 1、本文档共119页,可阅读全部内容。
- 2、有哪些信誉好的足球投注网站(book118)网站文档一经付费(服务费),不意味着购买了该文档的版权,仅供个人/单位学习、研究之用,不得用于商业用途,未经授权,严禁复制、发行、汇编、翻译或者网络传播等,侵权必究。
- 3、本站所有内容均由合作方或网友上传,本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺!文档内容仅供研究参考,付费前请自行鉴别。如您付费,意味着您自己接受本站规则且自行承担风险,本站不退款、不进行额外附加服务;查看《如何避免下载的几个坑》。如果您已付费下载过本站文档,您可以点击 这里二次下载。
- 4、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等,请点击“版权申诉”(推荐),也可以打举报电话:400-050-0827(电话支持时间:9:00-18:30)。
查看更多
* The first step in identifying patients with rhythm disorders is to obtain a medical history and perform a physical examination. Atrial arrhythmias are often asymptomatic and therefore can be a challenge to identify. ? During the initial interview, the physician gathers and documents information about the: – Severity of patient symptoms (e.g., palpitations, fainting, weakness, chest pain) – Circumstances in which symptoms occur (e.g., during exercise, times of stress) – Date of first and most recent episode – Frequency and duration of episodes – Existing drug therapies, including type of drug, dosages, and efficacy – Family history of arrhythmias – General health status, age, and lifestyle habits ? During the initial physical examination, the physician measures blood pressure, feels arterial pulses, listens to breath, checks the jugular vein for congestion, and checks for edema (swelling). * * CRT- D * ICD * * The sudden cardiac arrest chain of survival from the American Heart Association is well known. Evaluate need for ICD has been added as the fifth step – at the recommendation of Medtronic – as a method to help prevent a subsequent sudden cardiac arrest event. An electrophyisologist can determine if a patient is a candidate for an ICD. * It must be emphasized that ACC, AHA, and NASPE, when developing guidelines for indications, attached different conditions and levels of evidence to consider before implanting an ICD. Broadly speaking, ICDs are indicated for ventricular tachycardias and ventricular fibrillation. However, VT in most patients with normal hearts can be treated with drugs or ablation, consequently, the guidelines, as we shall see, are more complex than simply saying VT or VF. You may also refer to Gregoratos G. et al. ACC/AHA/NASPE 2002 guideline update for implantation of cardiac pacemakers and antiarrhythmia devices: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines.
文档评论(0)