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E IMPERIOSA A INDICAÇAO DE ESTUDO ELETROFISIOLOGICO EM SOBREVIVENTES DE PARADA CARDIACA

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A fibrilação ventricular é de longe o mais freqüente distúrbio do ritmo cardíaco causador de morte súbita cardíaca e os cardioversores desfibriladores implantáveis são próteses eficazes no seu tratamento
medeirosva9.jpg Autor:
Medeiros de vasconcelos, josé
Columnista Experto de SIIC

Institución:
Hospital Beneficência Portuguesa de São Paulo SP, Brasil

Artículos publicados por Medeiros de vasconcelos, josé
Coautor
Silas dos Santos Galvão Filho* 
Especialista em cardiologia pela Sociedade Brasileira de Cardiologia; Diretor do setor de Estimulação Cardíaca Artificial da Clínica de Ritmologia Cardíaca do Hospital Beneficência Portuguesa de São P*
Recepción del artículo
28 de Junio, 2004 		Aprobación
16 de Septiembre, 2004
Primera edición
12 de Enero, 2005 		Segunda edición, ampliada y corregida
7 de Junio, 2021

E IMPERIOSA A INDICAÇAO DE ESTUDO ELETROFISIOLOGICO EM SOBREVIVENTES DE PARADA CARDIACA

Resumen
O estudo eletrofisiológico é rotineiramente indicado em sobreviventes de parada cardíaca. Esta linha de conduta tem como objetivo estabelecer o diagnóstico do distúrbio do ritmo cardíaco que potencialmente causou o evento e, consequentemente, orientar o tratamento individualizado mais adequado. Nestas circunstâncias, medidas terapêuticas podem ser adotadas com base em inferências diagnósticas feitas a partir dos resultados obtidos. Entretanto, as informações colhidas do estudo eletrofisiológico, não necessariamente permitem que se estabeleça uma relação precisa de causa e efeito. A fibrilação ventricular é de longe o mais freqüente distúrbio do ritmo cardíaco causador de morte súbita cardíaca e os cardioversores desfibriladores implantáveis são próteses eficazes no seu tratamento. O seu implante é necessário na imensa maioria dos casos de parada cardíaca não relacionada a fatores transitórios, à despeito dos resultados obtidos no estudo eletrofisiológico. Assim, a indicação sistemática de estudo eletrofisiológico em tais situações não é cientificamente justificável.

Palabras clave
Morte súbita, cardioversor desfibrilador implantável, estudo eletrofisiológico, fibrilação ventricular, arritmia


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Especialidades
Principal: Cardiología
Relacionadas: Cuidados Intensivos, Emergentología, Medicina Interna



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Bibliografía del artículo
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