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致心律失常性右室发育不良在临床上主要表现为心律失常、猝死和心力衰竭。心电图上主要表现出(1)复极异常;(2)除极/传导异常;(3)室性心律失常。室性心动过速(室速)时舒张期的碎裂电位和心室病变部位的低电压区可以被看作是其诊断标准。Carto系统标测能发现病变区的准确位置、病变严重程度及病变范围。目前致心律失常性右室发育不良的临床治疗主要有:针对室速发生所采取的射频消融法,针对心力衰竭所采用的药物治疗及心脏移植手术,针对心脏猝死所采取的埋藏式心脏复律除颤器植入等。
Caused by arrhythmogenic right ventricular dysplasia mainly in clinical manifestations of arrhythmia, sudden death and heart failure. Electrocardiogram showed mainly (1) repolarization abnormalities; (2) depolarization / conduction abnormalities; (3) ventricular arrhythmia. Ventricular tachycardia (VT) when the diastolic fragmentation potential and ventricular lesions in the low voltage area can be seen as its diagnostic criteria. Carto System mapping can find the exact location of the lesion, the severity of the lesion and the extent of the lesion. At present, the clinical treatment of arrhythmogenic right ventricular dysplasia mainly includes radiofrequency ablation for ventricular tachyarrhythmias, drug treatment for heart failure and heart transplantation, burial cardioversion for sudden cardiac death Defibrillator implantation.