2018 ACC/AHA/HRS guideline on the evaluation and management of patients with bradycardia and cardiac conduction delay: a report of the American College of Cardiology/American …
Journal of the American College of Cardiology（2019）
摘要
1. Sinus node dysfunction is most often related to age-dependent progressive fibrosis of the sinus nodal tissue and surrounding atrial myocardium leading to abnormalities of sinus node and atrial impulse formation and propagation and will therefore result in various bradycardic or pause-related syndromes.2. Both sleep disorders of breathing and nocturnal bradycardias are relatively common, and treatment of sleep apnea not only reduces the frequency of these arrhythmias but also may offer cardiovascular benefits. The presence of nocturnal bradycardias should prompt consideration for screening for sleep apnea, beginning with solicitation of suspicious symptoms. However, nocturnal bradycardia is not in itself an indication for permanent pacing.
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ACC/AHA Clinical Practice Guidelines,ablation,ambulatory electrocardiography,aminophylline,atrioventricular block,atropine,AV block,beta-adrenergic agonist,bradyarrhythmia,bradycardia,bundle branch block,cardiac pacing,cardiac resynchronization therapy,cardiac sinus pause,cardiac surgery,congenital heart disease,digoxin antibodies Fab fragments,electrocardiogram,glucagon,heart block,Holter monitoring,intraoperative,isoproterenol,lamin A-C,left bundle branch block,muscular dystrophies,myocardial infarction,myotonic dystrophy,pacemaker,pacing,preoperative,quality of life,right bundle branch block,sarcoidosis,shared decision-making,sick sinus syndrome,sinus arrest,sinus bradycardia syndrome,sinus node dysfunction,spinal cord injuries,syncope,theophylline,transcatheter aortic valve replacement
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