ଏଭି-ନୋଡାଲ ରିଏଣ୍ଟ୍ରାଣ୍ଟ ଦୃତ‌ହୃଦ୍‌ଗତି

AV-nodal reentrant tachycardia
AV-nodal reentrant tachycardia
Atrioventricular nodal reentrant tachycardia, atrioventricular nodal reentry tachycardia
	ECG tracing of typical AV nodal reentrant tachycardia. Highlighted in yellow is the P wave that falls after the QRS complex.
ବିଭାଗ	Cardiology
ଲକ୍ଷଣ	Palpitations, neck pounding, lightheadedness, shortness of breath, chest discomfort
ଆକ୍ରାନ୍ତ ସମୟ	Sudden
ଅବଧି	Episodic
ରୋଗ ନିର୍ଣ୍ଣୟ ପଦ୍ଧତି	Electrocardiogram (ECG), electrophysiology studies
ସଠିକ ରୋଗ ନିର୍ଣ୍ଣୟ	Atrioventricular reentrant tachycardia, focal atrial tachycardia, junctional ectopic tachycardia, atrial flutter
ଚିକିତ୍ସା	Vagal maneuvers, adenosine, electrical cardioversion, ablation
Prognosis	Generally good
	[ଉଇକିଡାଟାରେ ବଦଳ କରନ୍ତୁ]

ଏଭି-ନୋଡାଲ ରିଏଣ୍ଟ୍ରାଣ୍ଟ ଦୃତ‌ହୃଦଗତି (AV-nodal reentrant tachycardia/ AVNRT) ହେଉଛି ଏକ ପ୍ରକାର ଅସ୍ୱାଭାବିକ ଏହା ଏକ ଦୃତ ହୃତ୍‌ପିଣ୍ଡ ଗତି ରୋଗ ।। ^[୬] ଏହାର ଲକ୍ଷଣରେ ପାଲପିଟେସନ, ବେକ ଧକ ଧକ ହେବା, ହାଲୁକା ମୁଣ୍ଡ, ଅଣନିଶ୍ୱାସ, ପରିସ୍ରା ବୃଦ୍ଧି ଏବଂ ଛାତି ଅସ୍ୱାଭାବିକତା ହୋଇପାରେ । ^[୭] ^[୮] ^[୯] ଆରମ୍ଭ ସାଧାରଣତଃ ହଠାତ୍ ହୋଇଥାଏ । ^[୧୦] ଜଟିଳତାରେ ପୂର୍ବରୁ ଥିବା କରୋନାରୀ ଧମନୀ ରୋଗରେ ହୃଦଘାତ ହୋଇପାରେ । ^[୧]

ଏହା ସାଧାରଣତଃ ଅନ୍ତର୍ନିହିତ ହୃଦରୋଗ ସହିତ ଜଡିତ ନୁହେଁ । ^[୭] ଅନ୍ତର୍ନିହିତ କାର୍ଯ୍ୟରେ ଏଭି ନୋଡରେ ଦୁଇଟି ପଥ ଅନ୍ତର୍ଭୂକ୍ତ ଥାଏ ବୋଲି ବିଶ୍ୱାସ କରାଯାଏ ଯାହା ବିଭିନ୍ନ ବେଗରେ ଚାଲିଥାଏ । ଏକ ଇସିଜିରେ (ECG) ^[୧୦] ପ୍ରତି ମିନିଟରେ ୧୪୦ରୁ ୨୮୦ ବିଟ୍ ଏବଂ ଏକ ସଂକୀର୍ଣ୍ଣ କ୍ୟୁଆରଏସ କମ୍ପଲେକ୍ସ ଥିଲେ ଏହି ରୋଗ ନିର୍ଣ୍ଣୟ କରାଯାଏ । ^[୧] ପି ତରଙ୍ଗ ସାଧାରଣତଃ ଦେଖାଯାଏ ନାହିଁ ।^[୩]

ଚିକିତ୍ସାରେ ନିର୍ଦ୍ଦିଷ୍ଟ ଶାରୀରିକ କ୍ରିୟା, ଔଷଧ କିମ୍ବା ଇଲେକ୍ଟ୍ରିକାଲ କାର୍ଡ଼ିଓଭର୍ସନ କରାଯାଏ । ^[୭] ବ୍ୟବହୃତ ଔଷଧ ମଧ୍ୟରେ ଆଡେନୋସିନ କିମ୍ବା ଡିଲଟାୟାଜେମ୍ ଅନ୍ତର୍ଭୁକ୍ତ ହୋଇପାରେ । ^[୧] କାର୍ଡିଓଭର୍ସନ ପାଇଁ ପ୍ରାରମ୍ଭିକ ପରାମର୍ଶରେ ୫୦ରୁ ୧୦୦ଜେ ଦିଆଯାଏ ।^[୧୦] ବାରମ୍ବାର ଆକ୍ରମଣ ହେଉଥିଲେ ରେଡିଓଫ୍ରିକ୍ୱେନ୍ସି ଆବ୍ଲାସନ ଚିକିତ୍ସା କରାଯାଇପାରେ । ^[୧] ଯଦି ଏହା ଏକ ବିକଳ୍ପ ନୁହେଁ ତେବେ ବିଟା ବ୍ଲକର କିମ୍ବା ଡିଲଟାୟଜେମ୍ ଦୀର୍ଘକାଳ ଧରି ବ୍ୟବହୃତ ହୋଇପାରେ । ^[୯] ଫଳାଫଳ ସାଧାରଣତ ଭଲ ଅଟେ । ^[୧]

ପାରାକ୍ସାଇସମାଲ୍ ସୁପ୍ରାଭେଣ୍ଟ୍ରିକୁଲାର ଟାକିକାର୍ଡିଆ (SVT)ର ପ୍ରାୟ ୬୦% ମାମଲାକୁ ଏଭି-ନୋଡାଲ ରିଏଣ୍ଟ୍ରାଣ୍ଟ ଦୃତ‌ହୃଦଗତି ପ୍ରତିନିଧିତ୍ୱ କରେ । ^[୭] ୧୪ରୁ ୫୦ ବର୍ଷ ବୟସ୍କ ଲୋକଙ୍କ ମଧ୍ୟରେ ଆରମ୍ଭ ହୁଏ । ^[୯] ମହିଳାମାନେ ପୁରୁଷଙ୍କ ତୁଳନାରେ ଦୁଇଗୁଣ ପ୍ରଭାବିତ ହୁଅନ୍ତି। ^[୧୦] ଅନ୍ତର୍ନିହିତ କାର୍ଯ୍ୟବିଧି ପ୍ରଥମେ ୧୯୭୩ ମସିହାରେ ଡେନସ୍ଦ୍ୱାରା ବର୍ଣ୍ଣନା କରାଯାଇଥିଲା । ^[୧୧]

ଆଧାର

↑ ^୧.୦୦ ^୧.୦୧ ^୧.୦୨ ^୧.୦୩ ^୧.୦୪ ^୧.୦୫ ^୧.୦୬ ^୧.୦୭ ^୧.୦୮ ^୧.୦୯ Hafeez, Y; Armstrong, TJ (January 2020). "Atrioventricular Nodal Reentry Tachycardia". PMID 29763111. {{cite journal}}: Cite journal requires |journal= (help)
↑ Page, Richard L.; Joglar, José A.; Caldwell, Mary A.; Calkins, Hugh; Conti, Jamie B.; Deal, Barbara J.; Estes, N. A. Mark; Field, Michael E.; Goldberger, Zachary D. (May 2016). "2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society". Journal of the American College of Cardiology. 67 (13): e27–e115. doi:10.1016/j.jacc.2015.08.856. ISSN 1558-3597. PMID 26409259.
↑ ^୩.୦ ^୩.୧ Helton, MR (1 November 2015). "Diagnosis and Management of Common Types of Supraventricular Tachycardia". American family physician. 92 (9): 793–800. PMID 26554472.
↑ Shenasa, Mohammad (2014). Electrocardiography of Complex Arrhythmias, An Issue of Cardiac Electrophysiology Clinics, E-Book (in ଇଂରାଜୀ). Elsevier Health Sciences. p. 483. ISBN 978-0-323-31210-3. Archived from the original on 2021-08-27. Retrieved 2021-02-09.
↑ Katritsis, Demosthenes G; Camm, A. John (1 January 2006). "Classification and differential diagnosis of atrioventricular nodal re-entrant tachycardia". EP Europace. 8 (1): 29–36. doi:10.1093/europace/euj010.
↑ Katritsis, Demosthenes G.; Camm, A. John (24 August 2010). "Atrioventricular Nodal Reentrant Tachycardia". Circulation. 122 (8): 831–840. doi:10.1161/CIRCULATIONAHA.110.936591.
↑ ^୭.୦ ^୭.୧ ^୭.୨ ^୭.୩ Hafeez, Y; Armstrong, TJ (January 2020). "Atrioventricular Nodal Reentry Tachycardia". PMID 29763111. {{cite journal}}: Cite journal requires |journal= (help)
↑ Shenasa, Mohammad (2014). Electrocardiography of Complex Arrhythmias, An Issue of Cardiac Electrophysiology Clinics, E-Book (in ଇଂରାଜୀ). Elsevier Health Sciences. p. 483. ISBN 978-0-323-31210-3. Archived from the original on 2021-08-27. Retrieved 2021-02-09.
↑ ^୯.୦ ^୯.୧ ^୯.୨ Page, Richard L.; Joglar, José A.; Caldwell, Mary A.; Calkins, Hugh; Conti, Jamie B.; Deal, Barbara J.; Estes, N. A. Mark; Field, Michael E.; Goldberger, Zachary D. (May 2016). "2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society". Journal of the American College of Cardiology. 67 (13): e27–e115. doi:10.1016/j.jacc.2015.08.856. ISSN 1558-3597. PMID 26409259.
↑ ^୧୦.୦ ^୧୦.୧ ^୧୦.୨ ^୧୦.୩ Helton, MR (1 November 2015). "Diagnosis and Management of Common Types of Supraventricular Tachycardia". American family physician. 92 (9): 793–800. PMID 26554472.
↑ Katritsis, Demosthenes G; Camm, A. John (1 January 2006). "Classification and differential diagnosis of atrioventricular nodal re-entrant tachycardia". EP Europace. 8 (1): 29–36. doi:10.1093/europace/euj010.

[autogen1-1] ୧.୦୦ ^୧.୦୧ ^୧.୦୨ ^୧.୦୩ ^୧.୦୪ ^୧.୦୫ ^୧.୦୬ ^୧.୦୭ ^୧.୦୮ ^୧.୦୯ Hafeez, Y; Armstrong, TJ (January 2020). "Atrioventricular Nodal Reentry Tachycardia". PMID 29763111. {{cite journal}}: Cite journal requires |journal= (help)

[Rich2015-2] Page, Richard L.; Joglar, José A.; Caldwell, Mary A.; Calkins, Hugh; Conti, Jamie B.; Deal, Barbara J.; Estes, N. A. Mark; Field, Michael E.; Goldberger, Zachary D. (May 2016). "2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society". Journal of the American College of Cardiology. 67 (13): e27–e115. doi:10.1016/j.jacc.2015.08.856. ISSN 1558-3597. PMID 26409259.

[autogen2-3] ୩.୦ ^୩.୧ Helton, MR (1 November 2015). "Diagnosis and Management of Common Types of Supraventricular Tachycardia". American family physician. 92 (9): 793–800. PMID 26554472.

[She2014-4] Shenasa, Mohammad (2014). Electrocardiography of Complex Arrhythmias, An Issue of Cardiac Electrophysiology Clinics, E-Book (in ଇଂରାଜୀ). Elsevier Health Sciences. p. 483. ISBN 978-0-323-31210-3. Archived from the original on 2021-08-27. Retrieved 2021-02-09.

[Kat2006-5] Katritsis, Demosthenes G; Camm, A. John (1 January 2006). "Classification and differential diagnosis of atrioventricular nodal re-entrant tachycardia". EP Europace. 8 (1): 29–36. doi:10.1093/europace/euj010.

[Dem2010-6] Katritsis, Demosthenes G.; Camm, A. John (24 August 2010). "Atrioventricular Nodal Reentrant Tachycardia". Circulation. 122 (8): 831–840. doi:10.1161/CIRCULATIONAHA.110.936591.

[Stat2020-7] ୭.୦ ^୭.୧ ^୭.୨ ^୭.୩ Hafeez, Y; Armstrong, TJ (January 2020). "Atrioventricular Nodal Reentry Tachycardia". PMID 29763111. {{cite journal}}: Cite journal requires |journal= (help)

[autogen6-8] Shenasa, Mohammad (2014). Electrocardiography of Complex Arrhythmias, An Issue of Cardiac Electrophysiology Clinics, E-Book (in ଇଂରାଜୀ). Elsevier Health Sciences. p. 483. ISBN 978-0-323-31210-3. Archived from the original on 2021-08-27. Retrieved 2021-02-09.

[autogen7-9] ୯.୦ ^୯.୧ ^୯.୨ Page, Richard L.; Joglar, José A.; Caldwell, Mary A.; Calkins, Hugh; Conti, Jamie B.; Deal, Barbara J.; Estes, N. A. Mark; Field, Michael E.; Goldberger, Zachary D. (May 2016). "2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society". Journal of the American College of Cardiology. 67 (13): e27–e115. doi:10.1016/j.jacc.2015.08.856. ISSN 1558-3597. PMID 26409259.

[AFP2015-10] ୧୦.୦ ^୧୦.୧ ^୧୦.୨ ^୧୦.୩ Helton, MR (1 November 2015). "Diagnosis and Management of Common Types of Supraventricular Tachycardia". American family physician. 92 (9): 793–800. PMID 26554472.

[autogen8-11] Katritsis, Demosthenes G; Camm, A. John (1 January 2006). "Classification and differential diagnosis of atrioventricular nodal re-entrant tachycardia". EP Europace. 8 (1): 29–36. doi:10.1093/europace/euj010.

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