2015年欧洲心脏病学会关于心肌病、遗传性心律失常、小儿和先天性心脏病患者室性心律失常治疗和心脏性猝死预防指南解读

摘要

本文解读2015年欧洲心脏病学会关于心肌病、遗传性心律失常、小儿和先天性心脏病患者室性心律失常治疗和心脏性猝死预防指南，指南全面评价了这些患者室性心律失常和心脏性猝死的风险因素；更新了风险分层和室性心律失常预防和治疗最佳策略推荐，以预防心脏性猝死和降低其他不良临床预后；最后指出临床证据的空白，明确今后研究的重点领域。%The review interpreted 2015 European Society of Cardiology ( ESC) guidelines for the management of ventricular arrhythmias and the prevention of sudden cardiac death in patients with cardiomyopathy, inherited primary arrhythmia syndrome, pediatric ventricular arrhythmias and congenital heart disease,provided a comprehensive assessment of the risk factors for ventricular arrhythmias and sudden cardiac death and comprehensively reviewed in the published evidence for patients with these diseases,and updated appropriate approaching to risk stratification of the patients.The optimal preventive and therapeutic strategies of ventricular arrhythmia are recommended on the basis of the risk stratification,in order to prevent sudden cardiac death and reduce other adverse clinical outcomes.Finally,the gaps in clinical evidence on the risk stratification,management of ventricular arrhythmia and prevention of sudden cardiac death are pointed out,the key future research areas have been clarified.