Cardioversion

Cardioversion yog ib txoj kev los coj kev ua kom lub plawv rov qab zoo li qub.

Cardioversion tuaj yeem ua tiav siv hluav taws xob hluav taws xob lossis nrog tshuaj.

HLUAV TAWS XOB CARDIOVERSION

Hluav taws xob cardioversion yog ua tiav nrog lub cuab yeej uas muab hluav taws xob tso rau lub siab kom hloov lub suab nrov rov mus dua. Cov cuab yeej ntawd hu ua defibrillator.

Qhov poob siab tuaj yeem xa tawm los ntawm cov cuab yeej sab nraud lub cev hu ua sab nraud defibrillator. Cov no muaj nyob hauv chav kub ntxhov, tsheb tos neeg mob, lossis qee qhov chaw pej xeem xws li tshav dav hlau.

• Cov hluav taws xob pleev hluav taws xob tau muab tso rau ntawm lub hauv siab thiab nraub qaum. Cov thaj ua rau thaj yog txuas nrog cov defibrillator. Los yog, paddles txuas rau cov khoom siv yog tso ncaj qha rau hauv lub hauv siab.
• Qhov defibrillator tau ua kom lub zog thiab lub teeb hluav taws xob xa mus rau koj lub plawv.
• Qhov kev poob siab no luv luv tso tseg txhua qhov hluav taws xob ua haujlwm ntawm lub plawv. Tom qab ntawv nws ua rau lub plawv ua kom zoo li qub rov qab los.
• Qee lub sij hawm ntau dua ib qho kev poob siab, lossis ib qho kev poob siab nrog lub zog siab dua yog xav tau.

Qhov kev tiv thaiv sab nraud yog siv los kho qhov mob plawv tsis txaus (arrhythmia) uas ua rau vau thiab mob plawv. Piv txwv yog ventricular tachycardia thiab ventricular fibrillation.

Cov cuab yeej zoo li no kuj tseem siv tau los kho qhov tsis tshua muaj kev phom sij hauv lub cev, cov teeb meem xws li atrial fibrillation.

• Qee tus neeg yuav tau pib ua cov ntshav ua ntej kom tsis txhob txhaws ntshav me.
• Koj yuav muab cov tshuaj los pab koj so ua ntej kev ua.
• Tom qab cov txheej txheem, koj yuav tau muab tshuaj kom tiv thaiv cov ntshav txhaws lossis pab tiv thaiv kom tsis txhob muaj qhov tsis zoo rov qab los.

Kev cog tshuaj cardioverter-defibrillator (ICD) yog cov khoom siv uas tso rau hauv koj lub cev. Nws feem ntau siv rau hauv cov neeg uas muaj kev pheej hmoo sai tuag vim tias lawv lub siab tsis zoo, lossis lawv tau muaj lub plawv tsis txaus ntshai ua ntej.

• ICD muab cog rau hauv qab koj daim tawv nqaij ntawm koj lub hauv siab lossis lub plab.
• Cov xov hlau muaj txuas uas mus rau hauv lossis ze ntawm lub plawv.
• Yog hais tias lub cuab yeej kuaj pom lub plawv dhia txaus ntshai, nws xa hluav taws xob hloov mus rau lub plawv kom hloov pauv cov lus sib dhos rov qab mus rau qhov qub.

CARDIOVERSION SIV LUB CEV TSHUAJ

Cardioversion tuaj yeem ua tiav siv cov tshuaj uas tau noj los ntawm qhov ncauj lossis muab los ntawm cov leeg ntshav (IV). Nws tuaj yeem siv sijhawm los ntawm ob peb feeb mus rau hnub rau qhov kev kho no ua haujlwm. Qhov kev kho mob no feem ntau tau ua thaum nyob hauv tsev kho mob uas koj lub plawv khiav ceev.

Cardioversion siv cov tshuaj muaj peev xwm ua tau sab nraum tsev kho mob. Qhov kev kho no feem ntau siv rau cov neeg muaj atrial fibrillation uas los thiab mus. Txawm li cas los xij, koj yuav tsum tau saib xyuas tus kws kho plawv kom zoo.

Koj yuav tau muab cov ntshav nyias tshuaj los tiv thaiv cov ntshav txhaws thiab tawm hauv lub plawv (uas tuaj yeem ua mob stroke).

LUS TXAUS

Teeb meem ntawm cardioversion tsis tshua pom, tab sis tej zaum yuav suav nrog:

• Kev fab tshuaj los ntawm cov tshuaj siv
• Cov ntshav txhaws uas tuaj yeem ua rau mob stroke lossis lwm yam khoom hauv lub cev
• Ua kom tawv nqaij, hlawv, lossis mob rau qhov chaw cov electrodes tau siv
• Worsening ntawm lub arrhythmia

Cov neeg uas ua daim cardioversion sab nraud tuaj yeem xav tsis thoob yog tias tus txheej txheem ua tsis tiav. Qhov no tuaj yeem ua rau lub plawv atherosclerosis teeb meem, mob, thiab txawm tuag.

Kev tsis ncaj ncees lub plawv rwjms - cardioversion; Bradycardia - cardioversion; Tachycardia - cardioversion; Fibrillation - cardioversion; Arrhythmia - cardioversion; Kev raug ntes ntawm lub plawv - mob plawv; Defibrillator - cardioversion; Kws tshuaj cardioversion

• Implantable cardioverter-defibrillator

Al-Khatib SM, Stevenson WG, Ackerman MJ, li al. 2017 AHA / ACC / HRS cov txheej txheem rau kev tswj hwm cov neeg mob nrog ventricular arrhythmias thiab kev tiv thaiv ntawm kev mob plawv sai sai: thawj cov ntaub ntawv: cov ntawv ceeb toom ntawm American College ntawm Cardiology / American Heart Association Task Force ntawm Cov Kev Ntsuam Xyuas Kev xyaum thiab lub plawv mob plawv. Lub plawv dhia ceev ceevCov. 2018; 15 (10): e190-e252. PMID: 29097320 pubmed.ncbi.nlm.nih.gov/29097320/.

Epstein AE, DiMarco JP, Ellenbogen KA, li al. 2012 ACCF / AHA / HRS tsom xyuas kev hloov kho tshiab koom rau hauv ACCF / AHA / HRS 2008 cov lus qhia rau kev kho khoom siv ntawm kev mob plawv dhia tsis zoo: ib daim ntawv tshaj tawm ntawm American College ntawm Cardiology Foundation / American Heart Association Task Force ntawm Kev Coj Qhia thiab Lub plawv dhia. Lub Neej. J Am Coll CardiolCov. 2013; 61 (3): e6-e75. PMID: 23265327 www.ncbi.nlm.nih.gov/pubmed/23265327.

Miller JM, Tomaselli GF, Zipes DP. Kev kho rau tus mob plawv dhia tsis xwm yeem. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawvCov. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 36.

Minczak BM, Laub GW. Defibrillation thiab cardioversion. Hauv: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts thiab Hedges 'Cov Txheej Txheem Chaw Kho Mob hauv Xwm Ceev Kho Mob thiab Mob Zoo MobCov. 7 tus ed. Philadelphia, PA: Elsevier; 2019: chap 12.

Myerburg RJ. Txoj hauv kev rau lub plawv dhia thiab tuag lub plawv dhia tsis xwm yeem. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 57.

Santucci PA, Wilber DJ. Electrophysiologic kev ua haujlwm thiab kev phais. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 60.