华西医学

华西医学

2018 年美国心脏协会心肺复苏与心血管急救指南更新解读—抗心律失常药物在成人心脏骤停高级生命支持及自主循环恢复后的应用

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美国心脏协会(American Heart Association,AHA)于 2018 年 11 月发表《2018 AHA 心肺复苏及心血管急救指南更新:抗心律失常药物在成人心脏骤停高级心血管生命支持及自主循环恢复后的应用》。此指南更新立足于 AHA 2015 年 AHA 心肺复苏及心血管急救指南更新,结合近期相关临床循证证据,对成人心脏骤停患者出现除颤难治性心室颤动或无脉性室性心动过速时抗心律失常药物的使用,以及恢复自主循环后的用药,均提出建议。该文通过查阅文献、与其他指南推荐内容对比,对此更新进行解读。

American Heart Association (AHA) updated the advanced cardiovascular life support use of antiarrhythmic drugs during and immediately after cardiac arrest in the AHA guidelines for cardiopulmonary resuscitation and emergency cardiovascular care in November 2018. Based on the latest progress of relative evidence-based clinical evidence and 2015 AHA guidelines for cardiopulmonary resuscitation and cardiovascular emergency cardiovascular care. This update gave recommends on the use of antiarrhythmic drugs during resuscitation from adult shock-refractory ventricular fibrillation (VF) and pulseless ventricular tachycardia (pVT) cardiac arrest and immediately after restoration of spontaneous circulation following shock-refractory VF/pVT cardiac arrest, respectively. This review aims to interpret this update by reviewing the literature and comparing the recommends in this update with other guidelines.

关键词: 美国心脏协会; 抗心律失常药物; 除颤难治性心室颤动; 无脉性室性心动过速; 高级心血管生命支持; 心脏骤停

Key words: American Heart Association; Antiarrhythmic drugs; Shock-refractory ventricular fibrillation; Pulseless ventricular tachycardia; Advanced cardiovascular life support; Cardiac arrest

引用本文: 曹钰, 李东泽, 余海放, 蒋耀文, 叶胜, 郝迪, 曹径实, 李蕊芯. 2018 年美国心脏协会心肺复苏与心血管急救指南更新解读—抗心律失常药物在成人心脏骤停高级生命支持及自主循环恢复后的应用. 华西医学, 2018, 33(11): 1352-1355. doi: 10.7507/1002-0179.201811067 复制

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