{"id":200,"date":"2024-06-23T21:41:24","date_gmt":"2024-06-23T19:41:24","guid":{"rendered":"https:\/\/grossicardiologo.it\/?p=200"},"modified":"2026-03-09T10:14:38","modified_gmt":"2026-03-09T09:14:38","slug":"trattamenti-per-tachicardie","status":"publish","type":"post","link":"https:\/\/grossicardiologo.it\/en\/trattamenti-per-tachicardie\/","title":{"rendered":"Treatments for Arrhythmias"},"content":{"rendered":"
<\/div><\/div>\n\n\n\n

Treatments for Tachycardias<\/strong> Offered by Dr. Stefano Grossi<\/a>.<\/p>\n\n\n

\n\n
\n

Stopping Tachycardia<\/h2>\n\n\n\n

In the acute phase, the goal is to stop tachycardia as quickly as possible. <\/p>\n\n\n\n

After receiving proper instructions from their cardiologist, patients can attempt vagal\nmaneuvers on their own. These maneuvers can sometimes successfully restore the normal\nsinus rhythm.<\/p>\n\n\n\n

However, vagal maneuvers are often either ineffective or improperly performed by the\npatient. In such cases, the patient must go to the emergency department, where intravenous\nmedications (adenosine, calcium channel blockers, beta-blockers) will almost always stop the\ntachycardia. In a very small number of cases, electrical cardioversion may be necessary.<\/p>\n<\/div><\/div>\n\n<\/div><\/div>\n\n

\n\n
\n

Prevenire le recidive<\/h2>\n\n\n\n

The real challenge is not stopping the arrhythmia but ensuring it does not recur after being\ninterrupted. For many years, continuous treatment with antiarrhythmic drugs<\/em><\/strong> was the standard\napproach. However, this often failed to prevent episodes, even when patients adhered to the\nprescribed therapy. Additionally, long-term medication use could lead to intolerance or side\neffects.<\/p>\n\n\n\n

Since the 1990s, electrophysiologists have developed transcatheter ablation<\/strong> techniques that\nhave shown excellent results for these types of arrhythmias. These methods achieve nearly\n100% success in patients with reentrant nodal tachycardia and tachycardias involving an\naccessory pathway, and an 80-90% success rate in focal atrial tachycardias. This treatment is\nnow the first choice for patients with these conditions.<\/p>\n<\/div><\/div>\n\n<\/div><\/div>\n\n

\n\n
\n

In cases of reentrant nodal tachycardia, the target is the slow nodal pathway, which forms one\narm of the circuit (reentry) sustaining the arrhythmia (Fig. 4). In cases of arrhythmias caused\nby accessory pathways, the target is the Kent bundle (Fig. 5).<\/p>\n\n\n\n

By applying energy that heats (radiofrequency) or cools (cryoablation) the tissue locally, the\nslow nodal pathway can be eliminated, permanently preventing the occurrence of paroxysmal\ntachycardia.<\/p>\n<\/div><\/div>\n\n<\/div><\/div>\n\n

\n\n
\n
\"Trattamenti
Fig. 4 \u2013 A: The lower extension of the atrioventricular node represents the slow pathway of the reentrant circuit underlying the arrhythmias and the target of the ablation. \nD: The ablation catheter positioned in the corresponding heart area; once the reentrant circuit is eliminated, it will no longer occur.<\/figcaption><\/figure>\n<\/div><\/div>\n\n\n\n
\n
\"Trattamenti
Fig. 5 \u2013 A: The presence of a connection between the left atrium and ventricle (accessory or anomalous pathway) represents one of the two limbs of the reentrant circuit sustaining the arrhythmia. \nB: The ablation catheter positioned in the corresponding heart area; once the reentrant circuit is eliminated, it will no longer occur.<\/figcaption><\/figure>\n<\/div><\/div>\n\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"

Ecco i trattamenti per tachicardie praticati dal Dr. Stefano Grossi. Interrompere la tachicardia In fase acuta l\u2019obbiettivo \u00e8 quello di interrompere al pi\u00f9 presto la tachicardia.  Il paziente, dopo essere stato adeguatamente istruito dal proprio cardiologo, pu\u00f2 provare da solo ad eseguire le manovre vagali che possono in qualche caso avere successo e ripristinare il […]<\/p>\n","protected":false},"author":1,"featured_media":167,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9,11],"tags":[],"class_list":["post-200","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-trattamenti","category-trattamenti-per-aritmie"],"yoast_head":"\nTrattamenti per tachicardie - Dr. Stefano Grossi<\/title>\n<meta name=\"description\" content=\"Trattamenti per tachicardie praticati dal dr. Grossi, cardiologo, aritmologo, elettrofisiologo interventista. 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