陣發性室上性心搏過速：修订间差异
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TECHNO-INSPECTOR（留言 | 贡献） |
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{{Medical}}{{Infobox medical condition (new) |
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| name = Supraventricular tachycardia |
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| image = SVT Lead II-2.JPG |
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| caption = Lead II [[心电图|electrocardiogram]] strip showing PSVT with a [[心率|heart rate]] of about 180. |
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| synonyms = Supraventricular arrhythmia |
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| field = [[心臟病學|Cardiology]] |
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| symptoms = [[心悸|Palpitations]], feeling faint, sweating, [[呼吸困难|shortness of breath]], [[胸痛|chest pain]].<ref name=NIH2011Sym/> |
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| complications = |
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| onset = |
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| duration = |
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| types = [[心房顫動|Atrial fibrillation]], {{tsl|en|paroxysmal supraventricular tachycardia||paroxysmal supraventricular tachycardia}} (PSVT), [[心房撲動|atrial flutter]], {{tsl|en|Wolff-Parkinson-White syndrome||Wolff-Parkinson-White syndrome}}<ref name=NIH2011Type/> |
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| causes = [[心律不整|Re-entry]] or {{tsl|en|Cardiac muscle automaticity||increased cardiac muscle automaticity}}<ref name=Al2016/> |
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| risks = |
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| diagnosis = [[心电图|Electrocardiogram]] (ECG), [[动态心电图|holter monitor]], {{tsl|en|event monitor||event monitor}}<ref name=NIH2011Diag/> |
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| differential = |
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| prevention = |
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| treatment = Medications, medical procedures, surgery<ref name=NIH2011Tx/> |
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| medication = |
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| prognosis = |
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| frequency = ~3%<ref name=Kat2016/><ref name=Zoni2014/><ref name=Fer2017/> |
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| deaths = |
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<!-- Definition and symptoms --> |
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'''Supraventricular tachycardia''' ('''SVT''') is an [[心跳过速|abnormally fast heart rhythm]] arising from improper [[心臟電傳導系統|electrical activity in the upper part of the heart]].<ref name=NIH2011Type>{{cite web|title=Types of Arrhythmia|url=http://www.nhlbi.nih.gov/health/health-topics/topics/arr/types|website=NHLBI|date=July 1, 2011}}</ref> There are four main types: [[心房顫動|atrial fibrillation]], {{tsl|en|paroxysmal supraventricular tachycardia||paroxysmal supraventricular tachycardia}} (PSVT), [[心房撲動|atrial flutter]], and {{tsl|en|Wolff-Parkinson-White syndrome||Wolff-Parkinson-White syndrome}}.<ref name=NIH2011Type/> Symptoms may include [[心悸|palpitations]], feeling faint, sweating, [[呼吸困难|shortness of breath]], or [[胸痛|chest pain]].<ref name=NIH2011Sym>{{cite web|title=What Are the Signs and Symptoms of an Arrhythmia?|url=http://www.nhlbi.nih.gov/health/health-topics/topics/arr/signs|website=NHLBI|accessdate=27 September 2016|date=July 1, 2011}}</ref> |
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<!-- Causes and diagnosis --> |
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They start from either the [[心房|atria]] or [[房室结|atrioventricular node]].<ref name=NIH2011Type/> They are generally due to one of two mechanisms: [[心律不整|re-entry]] or {{tsl|en|Cardiac muscle automaticity||increased automaticity}}.<ref name=Al2016>{{cite journal|last1=Al-Zaiti|first1=SS|last2=Magdic|first2=KS|title=Paroxysmal Supraventricular Tachycardia: Pathophysiology, Diagnosis, and Management.|journal=Critical care nursing clinics of North America|date=September 2016|volume=28|issue=3|pages=309–16|pmid=27484659|doi=10.1016/j.cnc.2016.04.005}}</ref> The other type of fast heart rhythm is [[心律不整|ventricular arrhythmia]]s—rapid rhythms that start within the [[心室|ventricle]].<ref name=NIH2011Type/> Diagnosis is typically by [[心电图|electrocardiogram]] (ECG), [[动态心电图|holter monitor]], or {{tsl|en|event monitor||event monitor}}.<!-- <ref name=NIH2011Diag/> --> [[血液检查|Blood test]]s may be done to rule out specific underlying causes such as [[甲状腺功能亢进症|hyperthyroidism]] or [[電解質不平衡|electrolyte abnormalities]].<ref name=NIH2011Diag>{{cite web|title=How Are Arrhythmias Diagnosed?|url=http://www.nhlbi.nih.gov/health/health-topics/topics/arr/diagnosis|website=NHLBI|date=July 1, 2011}}</ref> |
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<!-- Treatment and epidemiology --> |
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Specific treatments depend on the type of SVT.<!-- <ref name=NIH2011Tx> --> They can include medications, medical procedures, or surgery.<!-- <ref name=NIH2011Tx/> --> {{tsl|en|Vagal maneuvers||Vagal maneuvers}} or a procedure known as {{tsl|en|catheter ablation||catheter ablation}} may be effective in certain types.<!-- <ref name=NIH2011Tx/> --> For atrial fibrillation [[钙离子通道阻滞剂|calcium channel blockers]] or [[Β受体阻断药|beta blockers]] may be used.<!-- <ref name=NIH2011Tx/> --> Long term some people benefit from [[抗凝剂|blood thinners]] such as [[阿司匹林|aspirin]] or [[华法林|warfarin]].<ref name=NIH2011Tx>{{cite web|title=How Are Arrhythmias Treated?|url=http://www.nhlbi.nih.gov/health/health-topics/topics/arr/treatment|website=NHLBI|accessdate=27 September 2016|date=July 1, 2011}}</ref> Atrial fibrillation affects about 25 per 1000 people,<ref name=Zoni2014>{{cite journal|last1=Zoni-Berisso|first1=M|last2=Lercari|first2=F|last3=Carazza|first3=T|last4=Domenicucci|first4=S|title=Epidemiology of atrial fibrillation: European perspective.|journal=Clinical epidemiology|date=2014|volume=6|pages=213–20|pmid=24966695|doi=10.2147/CLEP.S47385|pmc=4064952}}</ref> paroxysmal supraventricular tachycardia 2.3 per 1000,<ref name=Kat2016>{{cite book|last1=Katritsis|first1=Demosthenes G.|last2=Camm|first2=A. John|last3=Gersh|first3=Bernard J.|title=Clinical Cardiology: Current Practice Guidelines|date=2016|publisher=Oxford University Press|isbn=9780198733324|page=538|url=https://books.google.ca/books?id=VX7ADAAAQBAJ&pg=PA538|language=en}}</ref> Wolff-Parkinson-White syndrome 2 per 1000,<ref name=Fer2017>{{cite book|last1=Ferri|first1=Fred F.|title=Ferri's Clinical Advisor 2017: 5 Books in 1|date=2016|publisher=Elsevier Health Sciences|isbn=9780323448383|page=1372|url=https://books.google.ca/books?id=rRhCDAAAQBAJ&pg=PA1372|language=en}}</ref> and atrial flutter 0.8 per 1000.<ref>{{cite book|last1=Bennett|first1=David H.|title=Bennett's Cardiac Arrhythmias: Practical Notes on Interpretation and Treatment|date=2012|publisher=John Wiley & Sons|isbn=9781118432402|page=49|url=https://books.google.ca/books?id=QjZV23sZTV4C&pg=PA49|language=en}}</ref> |
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{{Infobox Disease | |
{{Infobox Disease | |
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Name = Paroxysmal supraventricular tachycardia | |
Name = Paroxysmal supraventricular tachycardia | |
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2017年8月8日 (二) 05:06的版本
 | 此條目需要补充更多来源。 (2011年2月10日) |
| Supraventricular tachycardia | |
|---|---|
| 同义词 | Supraventricular arrhythmia |
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| Lead II electrocardiogram strip showing PSVT with a heart rate of about 180. | |
| 症状 | Palpitations, feeling faint, sweating, shortness of breath, chest pain.[1] |
| 类型 | Atrial fibrillation, paroxysmal supraventricular tachycardia (PSVT), atrial flutter, Wolff-Parkinson-White syndrome[2] |
| 病因 | Re-entry or increased cardiac muscle automaticity[3] |
| 診斷方法 | Electrocardiogram (ECG), holter monitor, event monitor[4] |
| 治療 | Medications, medical procedures, surgery[5] |
| 患病率 | ~3%[6][7][8] |
| 分类和外部资源 | |
| 醫學專科 | Cardiology |
| MedlinePlus | 000183 |
| eMedicine | 156670 |
已隱藏部分未翻譯内容，歡迎參與翻譯。
Supraventricular tachycardia (SVT) is an abnormally fast heart rhythm arising from improper electrical activity in the upper part of the heart.[2] There are four main types: atrial fibrillation, paroxysmal supraventricular tachycardia (PSVT), atrial flutter, and Wolff-Parkinson-White syndrome.[2] Symptoms may include palpitations, feeling faint, sweating, shortness of breath, or chest pain.[1]
They start from either the atria or atrioventricular node.[2] They are generally due to one of two mechanisms: re-entry or increased automaticity.[3] The other type of fast heart rhythm is ventricular arrhythmias—rapid rhythms that start within the ventricle.[2] Diagnosis is typically by electrocardiogram (ECG), holter monitor, or event monitor. Blood tests may be done to rule out specific underlying causes such as hyperthyroidism or electrolyte abnormalities.[4]
Specific treatments depend on the type of SVT. They can include medications, medical procedures, or surgery. Vagal maneuvers or a procedure known as catheter ablation may be effective in certain types. For atrial fibrillation calcium channel blockers or beta blockers may be used. Long term some people benefit from blood thinners such as aspirin or warfarin.[5] Atrial fibrillation affects about 25 per 1000 people,[7] paroxysmal supraventricular tachycardia 2.3 per 1000,[6] Wolff-Parkinson-White syndrome 2 per 1000,[8] and atrial flutter 0.8 per 1000.[9]
| Paroxysmal supraventricular tachycardia | |
|---|---|
| 类型 | 陣發性室上性心搏過速 |
| 分类和外部资源 | |
| ICD-10 | I47.1 |
| ICD-9-CM | 427.0 |
| MedlinePlus | [1] |
| eMedicine | 156670 |
| MeSH | D013617 |
陣發性室上性心搏過速（Paroxysmal supraventricular tachycardia）是心律不整的一種，即是心臟內多一條電路，導致心律不整。可用藥物控制，也可使用射频消融术將心臟內那一條多的電路給燒掉，但需要找大醫院才能安全手術。
病狀
當PST發作時，在沒有運動的狀況下心臟會跳到180 Bpm 以上，不立刻服用藥物或是前往醫院，若半小時內未就醫，可能造成心臟過度使用進而心臟衰竭。[來源請求]
相關內容
- ^ 1.0 1.1 What Are the Signs and Symptoms of an Arrhythmia?. NHLBI. July 1, 2011 [27 September 2016].
- ^ 2.0 2.1 2.2 2.3 2.4 Types of Arrhythmia. NHLBI. July 1, 2011.
- ^ 3.0 3.1 Al-Zaiti, SS; Magdic, KS. Paroxysmal Supraventricular Tachycardia: Pathophysiology, Diagnosis, and Management.. Critical care nursing clinics of North America. September 2016, 28 (3): 309–16. PMID 27484659. doi:10.1016/j.cnc.2016.04.005.
- ^ 4.0 4.1 How Are Arrhythmias Diagnosed?. NHLBI. July 1, 2011.
- ^ 5.0 5.1 How Are Arrhythmias Treated?. NHLBI. July 1, 2011 [27 September 2016].
- ^ 6.0 6.1 Katritsis, Demosthenes G.; Camm, A. John; Gersh, Bernard J. Clinical Cardiology: Current Practice Guidelines. Oxford University Press. 2016: 538. ISBN 9780198733324 （英语）.
- ^ 7.0 7.1 Zoni-Berisso, M; Lercari, F; Carazza, T; Domenicucci, S. Epidemiology of atrial fibrillation: European perspective.. Clinical epidemiology. 2014, 6: 213–20. PMC 4064952
. PMID 24966695. doi:10.2147/CLEP.S47385.
- ^ 8.0 8.1 Ferri, Fred F. Ferri's Clinical Advisor 2017: 5 Books in 1. Elsevier Health Sciences. 2016: 1372. ISBN 9780323448383 （英语）.
- ^ Bennett, David H. Bennett's Cardiac Arrhythmias: Practical Notes on Interpretation and Treatment. John Wiley & Sons. 2012: 49. ISBN 9781118432402 （英语）.
