"Love your heart, bang ......"What do you think of when you hear this song?One day, I met the person who was as gorgeous as a rainbow, and since then, everyone else has been a god and a horse. The moment of heartbeat is indeed beautiful, but if the tachycardia continues to attack, it may be replaced by a panic ......
Routine** ineffective supraventricular tachycardia.
Last week, 48-year-old Mr. Liu (pseudonym) began to have chest tightness and palpitations in the morning, and he didn't feel serious, thinking that he could "abandon" it, so he didn't pay much attention to it. Mr. Liu realized that "something was wrong", so he hurried to the emergency department of Jiaxing First Hospital for treatment. At that time, the heart rate was measured at 210 beats (normal 60-100 beats), and the electrocardiogram showed paroxysmal supraventricular tachycardia (referred to as supraventricular tachycardia). The emergency physician gave 2 drug conversions** and 3 electrical cardioversions, but the normal heart rhythm could not be restored.
When paroxysmal supraventricular tachycardia occurs, it can be routinely converted to a normal heart rhythm by physical stimulation of the vagus nerve, drug conversion, and electrical cardioversion. If ineffective, transesophageal cardiac electrophysiology studies can be used, which is an effective means of early diagnosis and termination of supraventricular tachycardiac exacerbations. Chief Physician Wang Zhiyong, Deputy Director of the Department of Cardiovascular Medicine, introduced.
Since Mr. Liu's medication and electrical cardioversion were unsuccessful, after full evaluation, Deputy Chief Physician Huang Yue, Director of the Department of ECG, performed an emergency transesophageal cardiac electrophysiological examination for Mr. Liu that night, and successfully terminated the supraventricular tachycardia attack, and the heart rhythm finally changed to normal sinus rhythm.
Radiofrequency ablation solves the root cause of the problem.
I thought that the "twists and turns" of "the road to change" could come to an end. Who would have thought that 2 hours later, Mr. Liu had another seizure of supraventricular tachycardia, and because of the long cumulative time of the attack, he had developed symptoms of acute heart failure: dyspnea, chest tightness and breathlessness, ......The situation is critical. Wang Zhiyong and Xu Wenbo, deputy directors of the Department of Cardiovascular Medicine, decided to undergo transcatheter radiofrequency ablation** after diagnosis.
Although it was a child, time was of the essence. In less than half an hour, the emergency electrophysiology team composed of Deputy Chief Physician Xu Wenbo, Deputy Chief Physician Hu Liqun, Director Lu Lihua** and Chief Technician Shen Jiajie was ready in the hospital's catheterization laboratory. After nearly 2 hours of hard work, the paroxysmal supraventricular tachycardia radiofrequency ablation was successfully completed under local anesthesia, and Mr. Liu's chest tightness and palpitations were significantly improved after the operation.
Xu Wenbo said that for supraventricular tachycardia, it is generally performed electively after the normal heart rhythm is restored to the conventional **, and although Mr. Liu is the first disease, due to the combination of respiratory tract infection, fever and other unfavorable factors, it is difficult to control tachycardia, and even serious complications of heart failure, if not treated in time, it is likely to be life-threatening.
What is paroxysmal supraventricular tachycardia.
According to Chief Physician Wang Zhiyong, paroxysmal supraventricular tachycardia is a common arrhythmia, which is often manifested as sudden palpitations and discomfort, and can be terminated spontaneously in a short period of time in the early stage of the disease, so it is often ignored and easy to delay diagnosis.
In general, paroxysmal supraventricular tachycardia is considered a relatively benign arrhythmia, and the vast majority of patients do not have a life-threatening episode. However, if the onset is too long, the patient's overall condition is poor, such as advanced age or serious underlying medical conditions, it may lead to acute heart failure and even life-threatening.
Jiaxing First Hospital is the first medical unit in Zhejiang Province to carry out transesophageal cardiac electrophysiological examination technology. Percutaneous radiofrequency ablation**, as the first choice for supraventricular tachycardia, is also an important means for atrial fibrillation, atrial flutter, atrial tachycardia, frequent premature atrial contractions, frequent premature ventricular contractions, and idiopathic ventricular tachycardia. The Department of Cardiovascular Medicine has routinely carried out this technology for more than 20 years, and has set up an electrophysiology team to protect the life and health of the people in the region 24 hours a day.