实用心电学杂志
實用心電學雜誌
실용심전학잡지
JOURNAL OF PRACTICAL ELECTROCARDIOLOGY JS
2015年
1期
1-8
,共8页
早期复极综合征%危险分层%心源性猝死%J波形态
早期複極綜閤徵%危險分層%心源性猝死%J波形態
조기복겁종합정%위험분층%심원성졸사%J파형태
early repolarization syndrome%risk stratification%sudden cardiac death%J-wave morphology
早期复极综合征的发现已经70多年，长期以来它一直被认为是良性心电图变异而未引起足够重视，直到2008年报道早期复极综合征与恶性心律失常致心源性猝死相关，才引起人们的关注。如何筛查出猝死高危患者是当前研究的热点。从基因组学到离子通道、J 波形态，均可提供早期复极综合征危险分层的信息，综合运用效果可能更好。目前对于早期复极综合征的治疗仅限于二级预防，射频消融、ICD 植入可能挽救患者生命。
早期複極綜閤徵的髮現已經70多年，長期以來它一直被認為是良性心電圖變異而未引起足夠重視，直到2008年報道早期複極綜閤徵與噁性心律失常緻心源性猝死相關，纔引起人們的關註。如何篩查齣猝死高危患者是噹前研究的熱點。從基因組學到離子通道、J 波形態，均可提供早期複極綜閤徵危險分層的信息，綜閤運用效果可能更好。目前對于早期複極綜閤徵的治療僅限于二級預防，射頻消融、ICD 植入可能輓救患者生命。
조기복겁종합정적발현이경70다년，장기이래타일직피인위시량성심전도변이이미인기족구중시，직도2008년보도조기복겁종합정여악성심률실상치심원성졸사상관，재인기인문적관주。여하사사출졸사고위환자시당전연구적열점。종기인조학도리자통도、J 파형태，균가제공조기복겁종합정위험분층적신식，종합운용효과가능경호。목전대우조기복겁종합정적치료부한우이급예방，사빈소융、ICD 식입가능만구환자생명。
It is over 70 years since early repolarization syndrome(ERS)was found for the first time.It has long been regarded as benign electrocardiographic variation and has never aroused enough attention until the relationship between ERS and malignant arrhythmia-induced sudden cardi-ac death was reported in 2008.How to screen the patients at high risk of sudden death is the hotspot of research.The information of ERS risk stratification can be provided by Genomics,ion channels, and J-wave morphology,an integrated application of which may work better.At present,ERS treat-ment is limited to secondary prevention,and radiofrequency ablation and ICD implantation may save the lives of patients.
