Soifua maloloina, Faamai ma Tulaga
SVC syndrome, mafuaaga ma togafitiga
SVC syndrome po o faamai syndrome Wolff-Parkinson-White - a abnormality congenital o le faatulagaga loto. I le afioaga o le utupoto Kent - faatonuga faaopoopo o mai le atria i le ventricles, o le syndrome taatele o le amataga o le faatoagaina mai o le ventricles. Le toatele o tagata ma lenei faamai, ua tele lava ina maua i le tagata nai lo i tamaitai e leai ni auga o le maʻi fatu. Le utupoto faatusa Kent faaputuga faaletonu o alava myocardial tu i le eria i le va o se tasi o le ventricles, ma atrium taumatau, lea e taua tele i le pathogenesis o le palasi faamai.
I nisi o gasegase le SVC syndrome mafai ona i ai se togafitiga faaaliga, e faaopoopo i arrhythmia. Le afa o le gasegase ma lenei anomaly faaalia paroxysmal tachyarrhythmias: moli, emoemo atrial ma fibrillation atrial ma arrhythmias supraventricular retsiprikornye. O lenei syndrome e masani ona tuuina atu faatasi ma le loto faamai e pei o prolapse alatoto mitral Ebshtayna anomaly ma cardiomyopathy hypertrophic.
Talu ai e mafai ona tupu syndrome SVC i se faiga lilo, e mafai ona mauaina pe a faaosofia eletise o le ventricles. ua mafua ona o manaoga faapitoa lenei auala faamisi pulses taitaiga antegrade. I le ECG i sinusu pao o faaaliga o le amataga o le faatoagaina mai o le ventricles e le aafia ai. faamaʻi ERW folafola ua ECG o vaega nei: a P vaitaimi puupuu - R, P - Q; Galu D; QRS lavelave faaopoopoga; tachyarrhythmia.
SVC syndrome E mafai ona maua i so o se tausaga, e amata i le faatoa fanau mai. e mafai ona sao ona ala i so o se maʻi fatu, e tutupu faatasi ma le faaleagaina o le conduction AV. faaaliga tumau o SVC faamaʻi tuuina atu faatasi ma arrhythmia faafilogiaina intracardiac hemodynamics, lea e mautinoa lava e tau atu i le faalauteleina o le potu fatu ma faaitiitia ai le tomai o le myocardium e konekarate. O auga o le faamai o le tele faalagolago i le umi ma taimi o tachyarrhythmias. I le 4% o mataupu o lenei faamaʻi tupu oti coronary, e masani lava ona o arrhythmias lamatia.
SVC syndrome tausia ma taofia osofaʻiga i ni auala eseese: e taofia ai se osofaʻiga a tachycardia faaaogaina o fualaau faasaina antiarrhythmic; pe a tachycardia supraventricular e faaaogāina jetting, triphosphate adenosine totonu o le uaua, lea e mafua ai le toilalo loto pupuu ma lona restart mulimuli ane; i le tulaga o le syndrome o fibrillation atrial maua faanatinati defibrillation eletise i amioga nisi o auala faaopoopo le faalumaina.
syndrome Wolff-Parkinson-White faatatauina e le fesoasoaniga taotoga i tulaga o: faaiuga o se ni vaega faateleina o fibrillation atrial; osofaiga maua tahiamitrii ma hemodynamics faaletonu; osofaiga maua ina ua uma togafitiga antiarrhythmic; i tulaga o contraindications faaumiumi togafitiga o fualaau faasaina.
O lenei faamaʻi e leai se faasino i ERW-1A - Switches malaga ituaiga o mea papa, e faaaoga i nofoaga matautia, pisinisi ma maina. O nei switches ua faapipiiina i nofoaga matautia, pisinisi ona o la latou fuafuaga e flameproof lotoā, e aofia ai fale ma faavaa.
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