Arrhythmias in Patients With Pulmonary Hypertension; A Narrative Review of the Current Literature

سال انتشار: 1397
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 73

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شناسه ملی سند علمی:

JR_HPR-3-2_001

تاریخ نمایه سازی: 6 تیر 1402

چکیده مقاله:

Incidence and prognostic relevance of supraventricular arrhythmias were evaluated in nine studies. These studies investigated patients with different forms of pulmonary hypertension. Supraventricular arrhythmias were more often found in patients with group two pulmonary hypertension. Common findings in these patients were elevated right atrial pressure and diameters and reduced tricuspid annular plane systolic excursion (TAPSE). Elevations in other parameters like systolic pulmonary arterial pressure, mean pulmonary arterial pressure, and pulmonary vascular resistance (PVR) were inconsistent. Most of the patients with arrhythmias suffered symptoms and improved after sinus rhythm (SR) was restored. The prognostic relevance of non-sustained ventricular tachycardia was evaluated in only one study. Non-sustained ventricular tachycardia does not seem to be prognostically relevant. Extending Holter electrocardiogram (ECG) monitoring over ۲۴ hours up to ۷۲ hours raises the detection rate of arrhythmias. Ablation of arrhythmias, especially atrial flutter and atrioventricular node reentry tachycardia, is feasible and safe in these patients.

نویسندگان

Dirk Bandorski

University of Giessen and Marburg Lung Center (UGMLC), member of the German Center for Lung Research (DZL), Klinikstrasse ۳۳, ۳۵۳۹۲ Giessen, Germany

Reinhard Hoeltgen

Klinikum Westmünsterland, St. Agnes-Hospital Bocholt Rhede, Medical Clinic ۱ – Cardiology/Electrophysiology, Barloer Weg ۱۲۵, ۴۶۳۹۷ Bocholt, Germany

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