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心力衰竭(心衰)患者心律失常的治疗非常重要,合并快速性心律失常的心衰患者,在诊断时必须与快速心率依赖性心肌病相鉴别。心功能低下的情况下,抗心律失常药的滥用反而会导致心功能恶化,由于抗心律失常药物的致心律失常作用有恶化病理生理和生命预后的不良反应,因此导管射频消融治疗这种非药物方法就显得尤为重要。在合并心衰的致死性心律失常患者的治疗方面,虽然导管射频消融成功治疗致死性心律失常的病例不少,但现阶段导管射频消融治疗致死性心律失常始终是一种探索性的治疗方式,一定要在植入ICD的前提下进行。
The treatment of arrhythmias in patients with heart failure (heart failure) is very important. Heart failure patients with tachyarrhythmia must be differentiated from rapid heart rate-dependent cardiomyopathy at diagnosis. Cardiac dysfunction, the abuse of anti-arrhythmic drugs but will lead to deterioration of cardiac function, anti-arrhythmic drugs due to arrhythmic effects of deteriorating pathophysiology and adverse prognosis of life, so catheter radiofrequency ablation of this non-drug The method is particularly important. Although the successful treatment of fatal arrhythmia by catheter radiofrequency ablation in the treatment of patients with fatal arrhythmia complicated by heart failure, but at this stage of catheterization radiofrequency ablation of fatal arrhythmia is always an exploratory treatment, Be sure to implant ICD under the premise.