[SCD-FORUM] 54R RE:关于心脏猝死的两个问题—— Iabluchanski医生

[SCD Symposium]

54R RE:关于心脏猝死的两个问题—— Iabluchanski医生

“儿茶酚胺风暴”是机体的非特异性反应，其不同水 
平取决于心肌梗死的发展程度。如果梗死没有影响到 
机体的重要功能，主要是指心脏生物力学（比如不影 
响机体调节途径情况下所具有的良好的组织效 
应，），那么该反应也不会有太大变化。就猝死来 
说，它是“儿茶酚胺风暴”的直接结果，发病特点与 
其相似。“儿茶酚胺风暴”通常意味着心率加快、离 
散度减小。因此，心率变异性减小，心率降到更低范 
围内。想要了解更多信息，我推荐参考我写的一本书 
（俄语）：http:// www.medicusamicus.com/index.php?action=im1-0



  致
Nikolai Iabluchanski 医生
Sergio Dubner 医生
科委会主席

Edgardo Schapachnik 医生
组委会主席
赵勤华译 王玲洁校

54R RE: Two questions about cardiac sudden death Dr. Iabluchanski
“Catecholaminergic storm” is an unspecific reaction from the  
organism
that is determined at different levels and depends on the evolution
of the myocardial infarction. If the infarction does not affect the
main vital functions, mostly cardiac biomechanics (e.g. a well
organized effect that does not affect the regulation pathways), then
this reaction does not vary either. As regards to SD, it is a direct
product from “catecholaminergic storm” and behaves in the same
manner. “Catecholaminergic storm” always implies an increase in HR
with a decrease in its dispersion; therefore, HR variability
decreases and its spectrum is redistributed in lower rates area.
For more information, I suggest my book (in Russian):
http:// www.medicusamicus.com/index.php?action=im1-0

Sincerely,
Dr. Nikolai Iabluchanski

--
Dr. Sergio Dubner
President of Scientific Committee

Dr. Edgardo Schapachnik
President of Steering Committee

>
> 1.如何评价目前临床上无创检查对卒死预测价值?
>
> 2."非急性心肌梗死"情况下"儿茶酚胺风暴"对猝死有如
> 何影响?如何评估?
> 刘新灿
>
> "liu.xin.can" <liu.xin.can在126.com>
>
> 1. How to evaluate the predictive value of those non-invasive
> examinations in our clinical work?
> 2. For those 'Non-Acute Myocardial Infarction' patients, what's the
> effect of the 'catecholamine storm' on sudden cardiac death? How to
> evaluate it?
>
> "liu.xin.can" <liu.xin.can在126.com>
>