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Australian and New Zealand journal of medicine最新文献

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National Heart Foundation Cholesterol Review. Proceedings of a round table discussion. 31 August 1993. Sydney, Australia. 国家心脏基金会胆固醇评论。圆桌会议的会议记录。1993年8月31日。澳大利亚悉尼。
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引用次数: 0
Thrombolysis '93. Canberra, Australia. 1-3 July 1993. 溶栓的93。澳大利亚堪培拉,1993年7月1日至3日。
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引用次数: 0
Radiofrequency catheter ablation of tachyarrhythmias--adult and paediatric experience. 快速心律失常的射频导管消融——成人和儿童经验。
P Kertes, J Kalman, B Edis, J M Chen, S Byrgiotis, P Kelly, A Tonkin, J Wilkinson

Background and aims: Until recently, curative therapy for supraventricular tachycardia (SVT) was possible only with map-guided cardiac surgery. The ability to ablate permanently the reentrant circuit responsible for tachycardia using radiofrequency electrical current (RF) delivered through a catheter has now allowed cure of SVT by non-surgical means. We present our initial experience with this technique in both adult and paediatric patients.

Methods: In 53 patients of median age 32 years, 56 radiofrequency catheter ablation procedures were performed for control of tachyarrhythmias. Fourteen patients were aged 18 years or less. Indications for RF ablation were SVT due to an accessory pathway (n = 27), SVT due to atrioventricular junctional reentry (AVJRT) (n = 22), incessant SVT (n = 2), ventricular tachycardia (n = 2), and uncontrolled atrial fibrillation (n = 3). General anaesthesia was used in 88% of procedures. Ablation was preceded by electrophysiological testing to confirm tachycardia mechanism in all cases.

Results: The ablation procedure was completely successful in 49/56 cases (87.5%) and partially successful in another two cases. Only five procedures (9%) failed. Median procedure time was two hours, median fluoroscopy time was 24 min, and the median number of RF applications was four. There were no major differences in results comparing adult and paediatric patients. A transient ulnar nerve palsy was the only major complication observed. After a follow-up of one to 15 months, tachycardia has recurred in two patients (4%). Of the total 53 patients, 90.5% are currently asymptomatic and off all cardiac drug therapy. RF catheter ablation appears to be an effective, curative, and relatively safe alternative to long term drug therapy in the management of troublesome SVT.

背景和目的:直到最近,对室上性心动过速(SVT)的治疗只能通过地图引导的心脏手术来实现。通过导管输送射频电流(RF)永久消融导致心动过速的再入回路的能力,现在已经允许通过非手术手段治愈室性心动过速。我们提出了我们的初步经验,这种技术在成人和儿童患者。方法:对53例中位年龄32岁的患者进行了56次射频导管消融手术,以控制速性心律失常。14例患者年龄在18岁以下。射频消融术的适应症包括:副通道引起的室上腔t (n = 27)、房室结再入(AVJRT)引起的室上腔t (n = 22)、持续性室上腔t (n = 2)、室性心动过速(n = 2)和未控制的心房颤动(n = 3)。88%的手术采用全身麻醉。消融前进行电生理测试以确认所有病例的心动过速机制。结果:56例患者中49例(87.5%)完全成功,2例部分成功。只有5例(9%)手术失败。中位手术时间为2小时,中位透视时间为24分钟,中位射频应用次数为4次。成人患者和儿童患者的结果没有重大差异。一过性尺神经麻痹是唯一观察到的主要并发症。随访1 ~ 15个月后,2例(4%)患者再次出现心动过速。在53例患者中,90.5%目前无症状且停止了所有心脏药物治疗。射频导管消融似乎是一种有效的、可治愈的、相对安全的替代长期药物治疗的方法。
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引用次数: 0
Australian Geriatrics Society. Annual scientific meeting. Sydney, 29 April - 1 May, 1993. Abstracts. 澳大利亚老年医学会。年度科学会议。1993年4月29日至5月1日,悉尼。摘要。
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引用次数: 0
Australasian Society for Infectious Diseases. Annual scientific meeting. Adelaide, 6-8 May 1992. Abstracts. 澳大利亚传染病学会。年度科学会议。阿德莱德,1992年5月6日至8日。摘要。
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引用次数: 0
36th Annual Scientific Meeting of the Australian Rheumatology Association. Sydney, 17-20 May 1992. Abstracts. 第36届澳大利亚风湿病学会年度科学会议。悉尼,1992年5月17日至20日。摘要。
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引用次数: 0
Perianal zygomycosis in paroxysmal nocturnal haemoglobinuria. 阵发性夜间血红蛋白尿的肛周接合菌病。
S F Fanning, A A Sullivan, A M Allworth
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引用次数: 0
Australian and New Zealand Society of Nuclear Medicine. 23rd Annual Scientific Meeting. Adelaide, 3-6 May 1992. Abstracts. 澳大利亚和新西兰核医学学会。第23届年度科学会议。阿德莱德,1992年5月3日至6日。摘要。
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引用次数: 0
Monoclonal gammopathy as a clue to the presence of thyroid lymphoma associated with auto-immune thyroiditis. 单克隆伽玛病作为自身免疫性甲状腺炎相关甲状腺淋巴瘤存在的线索。
J Vendrell, C Richart, R Arteaga, E Mayayo, S Razquin
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引用次数: 0
Computerised management of an oral anticoagulant clinic. 口服抗凝剂门诊的计算机化管理。
C M Skordis, S Whitehead
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引用次数: 0
期刊
Australian and New Zealand journal of medicine
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