Management of sustained arrhythmias for patients with cardiogenic shock in intensive cardiac care units

被引：6
|
作者：
Maury, Philippe [1 ,2 ]
Mansourati, Jacques [3 ]
Fauchier, Laurent [4 ,5 ]
Waintraub, Xavier [6 ]
Boveda, Serge [7 ]
Sacher, Frederic [8 ]
机构：
[1] Univ Hosp Rangueil, 1 Ave Pr Jean Poulhes,TSA 50032, F-31059 Toulouse, France
[2] INSERM, Unite U1048, 1 Ave Pr Jean Poulhes,TSA 50032, F-31059 Toulouse, France
[3] Univ Hosp Brest, 2 Ave Foch, F-29200 Brest, France
[4] Ctr Hosp Univ Trousseau, Ave Republ, F-37170 Chambray Les Tours, France
[5] Univ Tours, Ave Republ, F-37170 Chambray Les Tours, France
[6] Grp Hosp Pitie Salpetriere, AP HP, Inst Cardiol, 7-83 Blvd Hop, F-75013 Paris, France
[7] Clin Pasteur, 45 Ave Lombez,BP 27617, F-31076 Toulouse, France
[8] Bordeaux Univ, Bordeaux Univ Hosp, LIRYC Inst, F-33000 Bordeaux, France
来源：
ARCHIVES OF CARDIOVASCULAR DISEASES | 2019年 / 112卷 / 12期
关键词：
Cardiogenic shock; Atrial fibrillation; Electrical storm; Catheter ablation; IMPLANTABLE CARDIOVERTER-DEFIBRILLATORS; VENTRICULAR-TACHYCARDIA ABLATION; 2016 ESC GUIDELINES; ELECTRICAL STORM; CATHETER ABLATION; ATRIAL-FIBRILLATION; RESYNCHRONIZATION THERAPY; HEART-FAILURE; CLINICAL PREDICTORS; MORTALITY;
D O I：
10.1016/j.acvd.2019.10.002
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Cardiac arrhythmias that occur in patients referred to intensive care units worsen symptoms and outcomes and need urgent correction, especially in patients admitted for refractory heart failure. Electrical storm is a frequent reason for referral to an intensive care unit. Specific, efficient and rapid management of patients presenting with various arrhythmias is therefore mandatory and procedures should be known by any physician involved in an intensive care unit. This article reviews the current knowledge on the management of supraventricular and ventricular arrhythmias in this setting, from medications and sedation to ablation and more exceptional therapy. It also covers the occasional indications of resynchronization in refractory heart failure and the interest for haemodynamic assistance when specific therapy fails. (C) 2019 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码：781 / 791
页数：11
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