关键字:
心脏病

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假日心脏
原作者: Semhar Tewelde,葛赟译,肖 文章来源: 《中华急诊医学杂志》编辑部 发布日期:2015-03-03
关键词:健康 节假日 饮酒 心律失常 酗酒

Title: Holiday Heart
题目:假日心脏
Author 作者: Semhar Tewelde
翻译:葛赟 校对:肖锋
- Holiday heart commonly refers to alcohol use and rhythm disturbances, particularly supraventricular tachydysrhythmias.
――假日心脏通常指饮酒导致心律失常,尤其是室上性心动过速。
- The most common rhythm disorder is atrial fibrillation (AF), which usually converts to normal sinus rhythm within 24 hours and antiarrhythmic therapy is typically not indicated.
――最常见的心律失常是心房颤动 (AF),一般抗心律失常治疗效果不明显,通常在 24 小时内转换为正常的窦性心律。
- Analyses of ECGs in patients who have consumed a large quantity of alcohol show prolongation of the PR, QRS, and QT intervals.
――对酗酒患者的心电图分析表明,其 PR、 QRS 波和 QT 间期延长。
- 2014 AHA/ACC/HRS updated guidelines for nonvalvular AF utilize the CHA2DS2-VASc (congestive heart failure, hypertension, age ≥75 years [doubled], diabetes mellitus, prior stroke or TIA or thromboembolism [doubled], vascular disease, age 65 to 74 years, and sex category) score for assessment of stroke risk.
――2014 AHA/ACC/HRS指南更新:对非瓣膜性心房颤动可以利用 CHA2DS2 VASc分数(充血性心衰、 高血压、 年龄 ≥ 75 岁 [2分],糖尿病、 中风、短暂性脑缺血发作或血栓栓塞 [2分],血管疾病,65 至 74 岁的年龄,和性别类别)评定中风的风险。
References 参考文献:
Tonelo D, Providência R, Gonçalves L. Holiday heart syndrome revisited after 34 years. Arq Bras Cardiol. Aug 2013;101(2):183-189.
2014 AHA/ACC/HRS Guideline for the Management of Patients with Atrial Fibrillation: Executive Summary. JACC Vol 64, Issue 21, Dec 2014.

文章来源:《中华急诊医学杂志》编辑部