Acil Serviste Ablasyon Öncesi Supraventriküler Taşikardi Yönetiminde Kardiyoversiyon: Olgu Sunumu
Özet
Supraventriküler taşikardi (SVT), anormal hızlı bir kalp ritmidir. Paroksismal supraventriküler taşikardi, SVT’nin en sık karşılaşılan türüdür. Uzun vadede kalbin yapısal değişim geçirmesine neden olabilmektedir. Tanı; klinik, elektrokardiyografi (EKG) ve elektrofizyolojik değerlendirmeyi kapsamaktadır. Güncel tedavi yaklaşımları farmakolojik tedavi veya aritmojenik odağın kateter ablasyonu ile ortadan kaldırılmasını içermektedir. Kateter ablasyonu, deneyimli merkezlerde gözlemlenen etkinliği ve genel güvenliği nedeniyle SVT yönetiminde giderek daha fazla kullanılmaktadır. Aritmi sırasında hemodinamik instabilite yaşayan hastalar için birincil tedavi olarak önerilmekle birlikte atriyoventriküler (AV) düğüm bloke edici ajanlara dirençli aritmileri olan hastalar için de bir seçenektir.
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