Podjela i liječenje različitih oblika supraventrikulske tahikardije

master's thesis

• Title (english): Division and treatment of different forms of supraventricular tachycardia
• Author: Franjo Stručić
• Mentor: Mislav Puljević (mentor)
• Committee member: Ljiljana Banfić (predsjednik povjerenstva)
• Committee member: Martina Lovrić Benčić (član povjerenstva)
• Committee member: Mislav Puljević (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Internal Medicine); Zagreb
• Defense date and country: 2017-07-14, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Internal Medicine

Abstract

Supraventrikulska tahikardija je pojam kojim označavamo poremećaje srčanog ritma koje karakterizira abnormalno brz ritam (>100 otkucaja u minuti) koji potječe iz tkiva atrija ili AV čvora, a električni impuls može nastati na tri različita mehanizma (patološki automatizam, okidačka aktivnost, kruženje podražaja). Ovaj tip aritmija je uglavnom dobroćudne naravi, a može se javiti u svim dobnim skupinama neovisno o spolu. Uglavnom se javlja paroksizmalno, često u više epizoda tijekom života, ali neki tipovi mogu biti perzistentni. Simptomi koji se javljaju kod pacijenata s dijagnozom supraventrikulske tahikardije jako variraju. Dok su neki pacijenti potpuno asimptomatski, drugi mogu doživjeti ozbiljne simptome poput dispneje i sinkope. Najčešći simptomi uključuju palpitacije, umor, vrtoglavicu i omaglicu. Dijagnoza se postavlja primarno na temelju EKG nalaza, ali obrada zbog prirode ovih aritmija može zahtijevati kontinuirano praćenje, ehokardiografiju te invazivna elektrofiziološka ispitivanja. Terapijske mogućnosti kod supraventrikulskih tahikardija uključuju medicinske postupke, medikamente te invazivan pristup. Postoje smjernice kako postupati u akutnim stanjima, a kako postići kontrolu nad aritmijom. U ovom radu korištene su smjernice Europskog društva za kardiologiju (ESC) i Američke udruge kardiologa iz 2003. godine, te smjernice Američke udruge kardiologa iz 2015. godine.

Abstract (english)

Supraventricular tachycardia is a term used to refer to disorders of heart rhythm which are characterized by abnormally fast rhythm (>100 beats per minute) and the electrical impulse can appear due to three mechanisms (abnormal automaticity, triggered activity, re-entry). This type of arrhythmia is usually benign and it is not sex- or age- specific. Most commonly it is of paroxysmal onset, often more than once in a lifetime, and some types can be persistent. While some patients can be asymptomatic, others can have serious symptoms such as dyspnea and syncope. Most common symptoms include palpitations, fatigue, dizziness and lightheadedness. Diagnosis is made primarily by ECG finding, but this type of arrhythmia due to its nature often requires contionuous follow-up, echocardiography, and sometimes invasive electrophysiological examination. Supraventricular tachycardia treatment includes medical maneuvers, medications and in some cases invasive procedures. It is defined and there are specific guidelines how to manage them acutely, and how to achieve rate control in this arrhythmia. This paper includes gudelines published by European Society of Cardiology and American Heart Association in 2003 and guidelines published by American Heart Association in 2015.

• Keywords: supraventrikulska tahikardija; podjela; liječenje; smjernice
• Keywords (english): supraventricular tachycardia; division; treatment; guidelines
• Language: croatian
• URN:NBN: urn:nbn:hr:105:716939
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2018-03-27 11:48:36