7/25/2019 21_Le Aritmie in Et Pediatrica Optimized

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BEG@L@Y@MLE

Ae fr`tc`e smlm flmcfa`e bea r`tcm jfrb`fjm. Z` b`st`lkumlm pr`lj`pfa-

celte l orfb`fr`tc`e e tfjd`fr`tc`e. Ae pr`ce smlm jfrftter`zzfte bf ulr`tcm jfrb`fjm p` aeltm r`spettm faaf lmrcf. Lea jfsm beaae tfjd`fr`tc`e

af grequelzf `lveje p` eaevftf r`spettm f` vfamr` b` lmrcfa`t. @l ofse

faaf rek`mle jfrb`fjf bf ju` s` mr`k`lflm s` b`st`lkumlm `l smprfveltr`-

jmafr` e veltr`jmafr`.

@l et peb`ftr`jf a rflke b` grequelzf jfrb`fjf lmrcfae vfr`f jml aet bea

smkkettm. Zjdecft`jfcelte pmss`o`ae gfre r`ger`celtm f` sekuelt` vfamr`9

lemlftm9 08-648 opc> 6 cese9 668-6;8 opc>

5 fll`9 75-6:8 opc>

65 fll` 78-688 opc.

Es`stmlm lle ae extrfs`stma`ejde jmls`stmlm l oftt`t` precftur` ejtmp`j`.

Xmssmlm fvere mr`k`le smprfveltr`jmafre m veltr`jmafre.

@LJ@BELYF, EY@MXFRMKELEZ@ E G@Z@MXFRMAMK@F

Orfb`fr`tc`e

Af jmlb`z`mle pftmamk`jf p` `cpmrtflte rfppreseltftf bfa oamjjm

ftr`mveltr`jmafre jmcpaetm(OFWj).

@l questf s`tufz`mle lessulm st`cmam ftr`fae jmlbmttm f` veltr`jma`.

Aftt`v`t veltr`jmafre ku`bftf bf ul seklfpfss` k`ulz`mlfae m veltr`jm-afre. Afutmcft`scm bea seklfpfss` v`jfr`flte s` r`buje prmkress`vfcelte

faamltflflbms` bfaaf rek`mle d`ss`flf.

Aecmb`lfc`jf bea smkkettm pu essere jmcprmcessf per vfr` cejjf-

l`sc`9 `l pr`cm aumkm af grequelzf jfrb`fjf pu essere trmppm ofssf

per kfrflt`re ulf fbekuftf k`ttftf jfrb`fjf, `l sejmlbm aumkm pu be-

terc`lfrs` ulfsselzf beaaftt`v`t v`jfr`flte jml jmlsekuelte fs`stma`f.

@lle, `l preselzf b` grequelze veltr`jmafr` ofsse, pmssmlm `llesjfrs`

tfjd`fr`tc`e veltr`jmafr` jmce jmlsekuelzf b` ulf b`smcmkele`t beaaf

r`pmafr`zzfz`mle veltr`jmafre.

@a OFWj pu essere fjqu`s`tm m jmlkel`tm.

AE F_@RC@E @L ER XEB@FR_@JF

Xeb`ftr`j frrdytdc`fsK`flgrfljm Outerf

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Ae gmrce fjqu`s`te pmssmlm essere smprfttuttm jmlsekuelt` fb `ltervelt`

jfrb`mjd`rurk`j` m f gelmcel` `lgett`v` (jmce `l jmrsm b` geoore reu-

cft`jf). Ae gmrce jmlkel`te smlm ae p` grequelt`. Af amrm `lj`belzf

pfr` f j`rjf 6 su 65-?8888 lft` v`v`. Lea ?5% be` jfs` s` fssmj`flm fjfrb`mpft`e jmlkel`te (jumre ul`veltr`jmafre, trfspms`z`mle jmlkel`tf-

celte jmrrettf beaae krflb` frter`e). Ae gmrce restflt` smlm `b`mpft`jde

e smlm jmlsekuelzf b` ulf c`mjfrb`te getfae beterc`lftf bfa pfssfkk`m

trflspafljeltfre b` futmflt`jmrp` cfterl`.

Rfjd`fr`tc`e

Ae tfjd`fr`tc`e pmssmlm fvere tre b`vers` cejjfl`sc` pftmkelet`j`9

`a r`eltrm>

afutmcft`scm flmrcfae>

afutmcft`scm tr`kkerftm.

Lea jfsm bea cejjfl`scm b` r`eltrm am st`cmam eaettr`jm v`ele jmlbmttm

`l cfl`erf `terft`vf `l ul j`rju`tm jd`usm. Fgljd questm cejjfl`scm

pmssf fttufrs` smlm lejessfr` st`cma` fbekuft` (jmce ae extrfs`stma`), ul

suostrftm flftmcmgulz`mlfae jfrftter`zzftm bf b`versf burftf be` per`mb`

regrfttfr` e beaae veamj`t b` jmlbuz`mle beaae b`verse v`e bea j`rju`tm ebfaaf jmcpfrsf b` ul oamjjm ul`b`rez`mlfae su b` ulf beaae v`e. @ j`rju`t` b`

r`eltrm s` b`st`lkumlm l c`jrm e cfjrmr`eltr` l ofse faaf amrm estels`mle.

Afutmcft`scm flmrcfae eltrf `l k`mjm quflbm fajul` krupp` b` jeaauae

sv`auppflm ulf grequelzf b` sjfr`jf super`mre f queaaf s`lusfae b`vel-

tflbm `a pr`lj`pfae pfje-cfner jfrb`fjm.

Afutmcft`scm tr`kkerftm s` ver`jf quflbm ae jeaauae c`mjfrb`jde pre-

seltflm ulf bepmafr`zzfz`mle b`fstma`jf lbmttf bf ul tr`kker. @l tfa jfsm afbepmafr`zzfz`mle b`fstma`jf bettf pmtelz`fae tfrb`vm, se fcp`m f sugj`elzf

pu rfkk`ulkere af smka`f per af jmcpfrsf beaaf bepmafr zzfz`mle rfp`bf.

@l ofse faaf sebe b` mr`k`le ae tfjd`fr`tc`e s` b`st`lkumlm `l smprfvel-

tr`jmafr` e veltr`jmafr`.

Aegmrce smprfveltr`jmafr`s` ver`jflm `l j`rjf am 8,5-6% be` smkkett`

`l et peb`ftr`jf e smlm qu`lb` ae fr`tc`e p` grequelt` l questf gfsj`f b`

et. Aesmrb`m beaae tfjd`jfrb`e smprfveltr`jmafr` fvv`ele smprfttuttm le`

pr`c` ces` b` v`tf e bmpm ` ;-4 fll` b` et. Zmlm `l kelere `b`mpft`jde.

@l ofse fa cejjfl`scm pftmkelet`jm ae gmrce smprfveltr`jmafr` s` b`-

st`lkumlm `l9

gmrce futmcft`jde (tfjd`jfrb`e ftr`fa` ejtmp`jde, tfjd`jfrb`f ftr`fae

pma`cmrgf)>

gmrce bf r`eltrm (bf bmpp`f v`f lmbfae, bf v`f fjjessmr`f, utter ftr`fae,tfjd`jfrb`f k`ulz`mlfae rej`prmjflte percflelte).

Ae gmrce p` grequelt` smlm queaae bf v`f fjjessmr`f (58%) seku`te bfaae

gmrce bf bmpp`f v`f lmbfae (?8%).

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Bfa pultm b` v`stf pftmkelet`jm ae gmrce ftr`fa` futmcft`jde smlm bmvute

faaftt`vfz`mle b` ulm m p` gmjmaf` ejtmp`j`.

Ae gmrce bf r`eltrm pmssmlm b`st`lkuers` `l c`jrm e cfjrm r`eltr`. Lea

c`jrmr`eltrm lteressftf ulf pmrz`mle r`strettf b` tessutm fttmrlm fa lmbmftr`mveltr`jmafre `l ju` s` beterc`lf af jrefz`mle b` ulfref jml per`mbm

regrfttfr`m aulkm eb eaevftf veamj`t b` jmlbuz`mle (v`f rfp`bf) eb ulfref

jml ofssf regrfttfr`et e r`bmttf veamj`t b` jmlbuz`mle (v`f aeltf). Vueste

smlm ae jms`bbette tfjd`jfrb`e rej`prmjflt` smprfveltr`jmafr` bf bmpp`f v`f

lmbfae. Lea cfjrmr`eltrm `lteressftf ul fcp`f fref b` tessutm jde pu

essere jmcpaetfcelte amjfa`zzftm l sebe ltrf-ftr`fae (r`eltrm ltrf-ftr`fae

bea utter) m jm`lvmakere af preselzf b` v`e fjjessmr`e. @l questuat`cm

jfsm ` rfc` bea j`rju`tm smlm jmst`tu`t` bfaaf v`f lmbm-d`ss`flf, bfaaf v`f

fjjessmr`f e bfa tessutm c`mjfrb`m.

Bfa pultm b` v`stf s`mpftmamk`jm ae jmlsekuelze ecmb`lfc`jde b`pel-

bmlm bf vfr` gfttmr`9

6. grequelzf beaafr`tc`f>

?. gulz`mle b` atrm eserj`tftf bfa lmbm ftr`mveltr`jmafre>

:. grequelzf veltr`jmafre.

@a lmbm ftr`mveltr`jmafre df ul rumam jeltrfae lea atrfre (gelmcelm b`

[eljdeofjn) ka` st`cma` jmlbmtt` f` veltr`jma` jmlseltelbm qu`lb` `a

cfltel`celtm b` pfrfcetr` ecmb`lfc`j` fjjettfo`a`. Aul`jf ejjez`mle

rfppreseltftf bfaaf jmlbuz`mle b`rettf versm ` veltr`jma` b` ulf or`a-

afz`mle ftr`fae fttrfversm ulf v`f fjjessmr`f. @l questm jfsm lml v` af

gulz`mle b` atrm e afr`tc`f pu bekelerfre l or`aafz`mle veltr`jmafre.

Aegmrce veltr`jmafr`smlm estrecfcelte rfre `l et peb`ftr`jf. Zmlmp` grequelt` leaaf gfse pre-fbmaesjelz`fae eb fbmaesjelz`fae e smlm `l

kelere aekfte faaf preselzf b` tucmr` jfrb`fj` m essere ` sekl` `l`z`fa`

b` jfrb`mc`mpft`f. _frfcelte pmssmlm essere sejmlbfr`e f b`s`ml`ec`e,

pftmamk`f jmrmlfr`f leaaf cfaftt`f b` Nfwfsfn`, fssulz`mle b` gfrcfj`

flt`fr`tc`j`, c`mjfrb`t`, flmcfa`e kelet`jde beaaf r`pmafr`zzfz`mle jmce

leaaf s`lbrmce bea VR aulkm.

Bf ul pultm b` v`stf pftmkelet`jm ae gmrce p` grequelt` smlm queaae bfflmcfam futmcft`scm e bf futmcft`scm tr`kkerftm. Zpmrfb`jde smlm ae

gmrce bf r`eltrm `ltrfveltr`jmafre.

Ae jmlsekuelze ecmb`lfc`jde b`pelbmlm9

bfaaf grequelzf beaafr`tc`f veltr`jmafre>

bfaaf s`ljrml`f beaaf jmltrfz`mle.

Leaae gmrce pma`cmrge m leaaf or`aafz`mle veltr`jmafre questf s`ljrm-

l`f v`ele persf e le ber`vf jde aftt`v`t veltr`jmafre `legjfje per `a

cfltel`celtm b` pfrfcetr` ecmb`lfc`j` fbekuft`.

Aeextrfs`stma`e smlm reaft`vfcelte grequelt` `l et peb`ftr`jf. Zmlm ae-

kfte fb ul cejjfl`scm b` flmcfam futmcft`scm. Relbmlm kelerfacelte

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f sjmcpfr`re jml af jresj`tf bea pfz`elte. Kelerfacelte lml jmcpmrtflm

fajulf jmcprmc`ss`mle ecmb`lfc`jf cf pmssmlm essere espress`mle

prejmje b` ulf pftmamk`f c`mjfrb`f. Xmssmlm fvere mr`k`le leka` ftr` m

le` veltr`jma`.

JF_FRRE_@ZR@JDE JA@L@JDE

Orfb`fr`tc`e

@ qufbr` ja`l`j` smlm vfr`fo`a` e b`pelbmlm bfa seklfpfss` v`jfr`flte,

bfaaf suf grequelzf e bfaaeveltufae repelt`lf r`buz`mle beaaf grequelzf

b` sjfr`jf. Es`stmlm `lgftt`9

gmrce fs`ltmcft`jde af ju` sjmpertf mjjfs`mlfae>

gmrce jml tmaaerflzf ecmb`lfc`jf lml pergettf `l ju` `a smkkettm

pu cfl`gestfre ulf r`bmttf tmaaerflzf faam sgmrzm (lea afttflte per

esecp`m s` cfl`gester jmce ulf fa`celtfz`mle rfaaeltftf m cmatm

grfcceltftf)>

gmrce p` krfv` jml sjmcpelsm jfrb`fjm, a`pmt`c`e, s`ljmp`, cmrte

`cprmvv`sf. Rfa` cfl`gestfz`ml` pmssmlm essere fljde jmrreafte fb

fr`tc`e veltr`jmafr` jmcpaesse lbmtte bfaaf orfb`jfrb`f severf m bfaaf

b`aftfz`mle veltr`jmafre jde fjjmcpfklf `a OFWj.

Rfjd`fr`tc`e

Lea lemlftm sekl` p` grequelt` smlm queaa` beaa`lsugj`elzf jfrb`fjf9

tfjd`plef, b`splef, epftmcekfa`f. Rfavmatf ` s`ltmc` pmssmlm essere p`

suobma`9 b`gjmat fb fa`celtfrs`, pfaamre, ep`smb` b`pmtml`f.@lle s` pmssmlm ver`jfre beaae cfl`gestfz`ml` p` premjjupflt` bmvute

fb ulf jmlb`z`mle b` ofssf pmrtftf fjutf qufa` a jmaafssm jfrb`mvfsjmafre,

cfamr`, s`ljmp` m jmlvuas`ml`.

Lea ofco`lm p` krflbe `lveje pmssmlm fvers` b`sturo` p` mkkett`v`

(pfap`tfz`ml`, cfaessere).

Rfavmatf leaae gmrce `ljessflt` af cfl`gestfz`mle ja`l`jf queaaf b` ulf

jfrb`mc`mpft`f b`aftft`vf `lbmttf bfaaf tfjd`jfrb`f.@lle se af jmcprmc`ss`mle ecmb`lfc`jf cmatm severf le pu ber`vfre

af cmrte `cprmvv`sf bea smkkettm.

Extrfs`stma`e

Zmlm kelerfacelte fs`ltmcft`jde, tfamrf pmssmlm beterc`lfre af jmcpfr-

sf b` pfap`tfz`ml` jde velkmlm fvvert`te `l pfrt`jmafr cmbm le` smkkett`

`l epmjf pre-fbmaesjelz`fae m fbmaesjelz`fae.

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B@FKLMZ@

Orfb`fr`tc`e

Afpprmjj`m b`fklmst`jm f` oamjjd` ftr`mveltr`jmafr` s` ofsf su9 esfcemo`ett`vm, eaettrmjfrb`mkrfccf, EJK-Dmater beaae ?2 mre, ejmjfrb`m-

krfccf, test erkmcetr`jm.

Esfce mo`ett`vm9 ev`belzf b` orfb`jfrb`f, eveltufa` sekl` b` sjmcpelsm

jfrb`fjm.

Eaettrmjfrb`mkrfccf9faaEJK s` vebmlm p` mlbe X jde V_Z.

Le` OFW pfrz`fa` af jmlbuz`mle flmrcfae, cf preselte> lea OFW b` pr`-cm krfbm s` r`trmvf ul ltervfaam X_ faaulkftm> lea OFW b` sejmlbm krfbm

jml per`mb` b` Auj`fl`-[eljneofjd (t`pm Cmo`tz @) v` ul faaulkfceltm

prmkress`vm beaa`ltervfaam X_ lm faaf jmcpfrsf b` ulmlbf X oamjjftf>

lea OFW b` sejmlbm krfbm t`pm Cmo`tz @@ ae mlbe X lml smlm jmlbmtte

selzf jde v` s`f ul prejebelte faaulkfceltm prmkress`vm beaa`ltervfaam

X_. Le` OFWj lml v` jmlbuz`mle ftr`mveltr`jmafre per ju` es`ste ulf

jmlb`z`mle b` b`ssmj`fz`mle ftr`mveltr`jmafre.

EJK-Dmater beaae ?2 mre9percette af vfautfz`mle beaaf grequelzf c`-

l`cf, a`belt`jfz`mle b` eveltufa` pfuse, ae jfrftter`st`jde bea gmjus

v`jfr`flte, afbfttfceltm beaaf grequelzf jfrb`fjf faam sgmrzm, af preselzf

b` fr`tc`e veltr`jmafr`.

Ejmjfrb`mkrfccf9percette b` esjaubere af preselzf b` jfrb`mpft`efssmj`fte e b` vfautfre ae b`cels`ml` e af gulz`mle veltr`jmafre.

Rest erkmcetr`jm9pu essere eggettuftm le` smkkett` bf` ;-4 fll` b` et.

Jmlselte b` flfa`zzfre a jmcpmrtfceltm bea r`tcm v`jfr`flte faam sgmrzm,

af jmcpfrsf b` eveltufa` fr`tc`e veltr`jmafr`.

Rfjd`fr`tc`e

Afpprmjj`m b`fklmst`jm faae tfjd`fr`tc`e s` ofsf su9 esfce mo`ett`vm,eaettrmjfrb`mkrfccf, EJK-Dmater ?2 mre, ejmjfrb`mkrfccf, test erkm-

cetr`jm, stub`m eaettrms`mamk`jm.

Esfce mo`ett`vm9 ev`belz`f af preselzf b` ulf grequelzf jfrb`fjf matre

` rflke b` lmrcfa`t. Xmssmlm essere fssmj`ft` sekl` b` jmcprmc`ss`mle

ecmb`lfc`jf.

Eaettrmjfrb`mkrfccf9jmlselte b` jafss`jfre ae tfjd`jfrb`e l bue t`p`9

tfjd`jfrb`e f V_Z strettm>

tfjd`jfrb`e f V_Z afrkm.

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Ae tfjd`jfrb`e smprfveltr`jmafr` (RZW) smlm kelerfacelte jfrftter`zzfte

bf ulf jmlbuz`mle lmrcfae versm ` veltr`jma` e qu`lb` b` ul fspettm f

V_Z strett`.

Rfamrf pmssmlm essere f V_Z afrkd` `l preselzf b` ulf jmlbuz`mle fl-termkrfbf aulkm ulf v`f fjjessmr`f mppure lea jfsm b` ulfoerrflzf b`

jmlbuz`mle bmvutf fb ul oamjjm b` orfljf gulz`mlfae m pmst-jd`rurk`jm.

Am stub`m beaaf cmrgmamk`f e bea rfppmrtm trf ae mlbe X eb ` jmcpaess`

V_Z jmlselte b` bel`re amr`k`le eb `a cejjfl`scm beaaf tfjd`jfrb`f.

Ze ae mlbe X smlm cfa `lb`v`bufte suaaEJK m se `a rfppmrtm X-V_Z

b` t`pm 696, o`smklf ut`a`zzfre ae cflmvre vfkfa` qufa` `a b`v`lk reex,

af jmcpress`mle be` ouao` mjuafr`, af cflmvrf b` Wfasfavf, a`l`ez`mle

elbmvelmsf rfp`bf b` FRX m b` FBX.

Krfz`e f queste prmjebure s` prmvmjf ul oamjjm ftr`mveltr`jmafre trfls`-

tmr`m e s` pmssmlm b`st`lkuere bue t`p` b` RZW9

tfjd`jfrb`e ftr`fa`>

tfjd`jfrb`e bf r`eltrm.

Leaae gmrce ftr`fa` ejtmp`jde leaaf pfusf beaaf jmlbuz`mle ftr`mveltr`jm-

afre s` vebrfllm ae mlbe reaft`ve faaftt`v`t ftr`fae (pmtrecm fvere gmrce

ejtmp`jde cmlmcmrge, pma`cmrge, utter ftr`fae).

Leaae gmrce bf r`eltrm, pm`jd af cflmvrf vfkfae fk`sje smprfttuttm sua

lmbm ftr`mveltr`jmafre jde jmst`tu`sje ulm beka` eaecelt` gmlbfceltfa`

bea j`rju`tm, s` pu mttelere a`lterruz`mle beaafr`tc`f. Faaf r`presf bea

r`tcm s`lusfae pmss`fcm fvere bue s`tufz`ml`9

6. ulf pre-ejj`tfz`mle veltr`jmafre t`p`jf beaaf s`lbrmce b` [magg-

Xfrn`lsml-[d`te>

?. fspettm pergettfcelte lmrcfae beaaEJK e be` V_Z9 tfjd`jfrb`f bfbmpp`f v`f lmbfae m tfjd`jfrb`e `l ju` af v`f fjjessmr`f mjjuatf.

Ae tfjd`jfrb`e veltr`jmafr` (RW) smlm, `lveje, jfrftter`zzfte bfaaf pre-

selzf b` V_Z afrkd`.

Xmssmlm essere cmlmcmrge e pma`gmrce.

Gmlbfceltfae af c`surf bea VR jmrrettm per esjaubere af preselzf b`

ulf s`lbrmce bea VR aulkm jde pu fssmj`frs` fb fr`tc`e veltr`jmafr`pma`cmrge jde pmssmlm essere jfusf b` cmrte `cprmvv`sf.

Ul `ltervfaam VR jmrrettm s` bel`sje faaulkftm se af suf burftf < 228

csej.

EJK-Dmater beaae ?2 mre9lea jfsm `l ju` s`f pmss`o`ae rek`strfre afr`t-

c`f, percette b` vfautfre ae jfrftter`st`jde b` `llesjm eb `lterruz`mle

beaafr`tc`f, af grequelzf cfss`cf, af burftf beaafr`tc`f. Lea jfsmbeaaf pre-ejj`tfz`mle veltr`jmafre jmlselte b` flfa`zzfre se tfae fspettm

pers`ste burflte af rek`strfz`mle eb `a sum jmcpmrtfceltm burflte ae gfs`

b` fjjeaerfz`mle s`lusfae bea r`tcm jfrb`fjm.

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@l jfsm b` s`lbrmce bea VR aulkm s` flfa`zzflm ` jr`ter` sejmlbfr` jde

spessm s` fssmj`flm f tfae s`lbrmce.

Ejmjfrb`mkrfccf9percette b` esjaubere af preselzf b` jfrb`mpft`efssmj`fte, ae b`cels`ml` e af gulz`mle veltr`jmafre.

Rest erkmcetr`jm9pu essere ut`ae fa b` gumr` beaaf jr`s` per vfautfre se

af tfjd`jfrb`f `llesjftf bfaaftt`v`t s`jf e le` smkkett` jml s`lbrmce

b` [magg-Xfrn`lsml-[d`te veltr`jmafre per stub`fre `a jmcpmrtfceltm

beaaf pre-ejj`tfz`mle burflte am sgmrzm e afuceltm beaaf grequelzf

jfrb`fjf s`lusfae.

Ztub`m eaettrmgs`mamk`jm9 lejessfr`m jmce jmcpaetfceltm b`fklmst`jm

suo`tm pr`cf b` prmjebere faafoafz`mle trflsjftetere.

Extrfs`stma`e

Af vfautfz`mle b`fklmst`jf s` ofsf su9 EJK, EJK-Dmater beaae ?2 mre,

ejmjfrb`mkrfccf, test erkmcetr`jm, r`smlflzf cfklet`jf jfrb`fjf.

Eaettrmjfrb`mkrfccf9percette b` b`st`lkuere ae gmrce smprfveltr`jmafr`

bf queaae veltr`jmafr`. Jafss`jfcelte ae gmrce smprfveltr`jmafr` smlm

jfrftter`zzfte bf V_Z strett`, lml dfllm pfusf jmcpelsftmr`f, lml s`

fssmj`flm f b`ssmj`fz`mle ftr`mveltr`jmafre, pmssmlm tfavmatf essere

oamjjfte m fvere ulf jmlbuz`mle foerrflte.

Ae gmrce veltr`jmafr` dfllm V_Z afrkd`, pfusf jmcpelsftmr`f, b`ssmj`f-

z`mle FW, fjjmpp`fceltm ssm jml `a oftt`tm prejebelte.

EJK-Dmater beaae ?2 mre9jmlselte b` vfautfre `a lucerm beaae extrfs`-

stma` e af amrm b`str`ouz`mle lea jmrsm beaae ?2 mre, percette `lmatre b`

stub`fre `a amrm jmcpmrtfceltm `l ofse faaf grequelzf jfrb`fjf s`lusfae

e aeveltufae preselzf b` fr`tc`e p` jmcpaesse.

Ejmjfrb`mkrfccf9le` smkkett` jml ul lucerm eaevftm b` extrfs`stma`

lejessfr`m per esjaubere af preselzf b` jfrb`mpft`e fssmj`fte e per vfautfreae b`cels`ml` e af gulz`mle veltr`jmafre.

Rest erkmcetr`jm9 le` smkkett` jml ul lucerm eaevftm b` extrfs`stma`

smprfttuttm se b` mr`k`le veltr`jmafre lejessfr`m per vfautfre `a jmc-

pmrtfceltm beaae extrfs`stma` burflte aftt`v`t s`jf.

_`smlflzf cfklet`jf jfrb`fjf9 cmatm `cpmrtflte le` smkkett` jml

ul lucerm eaevftm b` extrfs`stma` veltr`jmafr` per esjaubere af preselzf

b` pftmamk`e bea c`mjfrb`m qufa` af b`spafs`f fr`tcmkelf bea veltr`jmam

bestrm m b` es`t` b` c`mjfrb`te.

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Rfjd`jfrb`f f V_Z afrkd` cmlmcmrg`

6. B`v`lk regaex

?. Ze `legg jfje, omam rfp`b`ss`cm b` fbelms`lf`v 658 c`jrmkrfcc`/nk

:. Ze `legg jfje, omam rfp`b`ss`cm b` fbelms`lf`v ?58 c`jrmkrfcc`/nk

@lterruz`mle beaaf tfjd`jfrb`f

Gmrce cmatm rfre b` tfjd`jfrb`f

veltr`jmafre (_MR-WR9 tfjd`-

jfrb`f veltr`jmafre beaaeggaus-sm bea veltr`jmam bestrm)

Xfusf

ftt`v`t ftr`fae

Rfjd`jfrb`f smvrfveltr`jmafre

jml foerrfz`mle.

Lessul eggettm

Rfjd`jfrb`f veltr`jmafr`

cmlmcmrge

Rfjd`jfrb`f f V_Z strett`

G`k. 6

6. B`v`lk regaex

?. Ze `legg`jfje, omam rfp`b`ss`cm b` fbelms`lf`v 658 c`jrmkrfcc`/nk

Ze `legg`jfje, omam rfp`b`ss`cm b` fbelms`lf `v ?58 c`jrmkrfcc`/nk

@lterruz`mle beaaf tfjd`jfrb`f

EJK `l r`tcm s`lusfae

X_ oreve + mlbe

Z b` [X[

X_ lmrcfae + V_Z strett` r`eltrm lmbfae

XI_R

@l tfa` jfs` se rfp`bf rej`b`vf

usfre prmpflmamam per `v

Xfusf

mlbe b` gautter

gautter ftr`fae

mlbe X ejtmp`jde

tfjd`jfrb`f ftr`fae

ejtmp`jf

Lessul eggettm

Rfjd`jfrb`f d`ss`flf

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G`k. :

G`k. 2

7/25/2019 21_Le Aritmie in Et Pediatrica Optimized

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R_FRRFCELRM

Orfb`fr`tc`e

@a trfttfceltm jmls`ste leaa`cp`fltm b` ul pfje-cfner. Ae `lb`jfz`ml` fatrfttfceltm ber`vflm bfaaflfa`s` beka` fspett` ja`l`j` e be` bft` struceltfa .

Rfjd`jfrb`e smprfveltr`jmafr`

@l tutt` ` jfs` `l ju` s`f lejessfr`f ulf terfp`f prmaftt`jf f aulkm terc`-

le pmss`o`ae ea`c`lfre `a gfsj`m fjjessmr`m jml afoafz`mle ceb`flte

rfb`mgrequelzf f pfrt`re bfaaet b` 4-68 fll`.

Le` smkkett` p` k`mvfl` pmss`o`ae prmpmrre ae sekuelt` `lb`jfz`ml`

terfpeut`jde9

Gautter ftr`fae9 af b`kmss`lf fssmj`ftf faafc`mbfrmle r`cfle ul trfttf-

celtm egjfje. Xmssmlm essere fljde ut`a`zzft` `l faterlft`vf faafc`m-

bfrmle, af ejf`l`be m `a prmpfgelmle.

Rfjd`jfrb`f ftr`fae ejtmp`jf9 s` usf af b`kmss`lf mppure ` oetf-oamjjflt`

faam sjmpm b` rfaaeltfre af jmlbuz`mle FW. Afc`mbfrmle, af ejf`l`be, a

prmpfgelmle m `a smtfamam smlm ut`a` per fk`re sua gmjus ejtmp`jm.

Rfjd`jfrb`f ftr`fae pma`cmrgf9 `a trfttfceltm prevebe aut`a`zzm beaafb`kmss`lf e beaafc`mbfrmle.

Rfjd`jfrb`e bf bmpp`f v`f lmbfae9ae cflmvre vfkfa` jfusflm ul oamjjm

trfls`tmr`m e pm`jd fk`sjmlm f a`veaam bea lmbm ftr`mveltr`jmafre pmssmlm

`lterrmcpmlm afr`tc`f. Zpessm, per, lejessfr`m presjr`vere ul trfttf-

celtm b` cfltel`celtm. @ gfrcfj` p` jmculecelte usft`, bf sma` m `l

fssmj`fz`mle, smlm9 af b`kmss`lf, ` oetf oamjjflt`, ` gfrcfj` beaaf jafsse

@j (prmpfgelmle, ejf`l`be) e beaaf jafsse @@@ (smtfamam, fc`mbfrmle).Rfjd`jfrb`e bf cfjrmr`eltrm9 `a trfttfceltm b` cfltel`celtm s` ofsf

suaaut`a`zzm be` oetf-oamjjflt`, be` gfrcfj` beaaf jafsse @j (prmpfgelmle,

ejf`l`be) e beaaf jafsse @@@ (fc`mbfrmle, jmrbfrmle). Af b`k`tfae bf

ev`tfre le` smkkett` jml s`lbrmce b` [magg-Xfrn`lsml-[d`te.

Rfjd`jfrb`e veltr`jmafr`

RW cmlmcmrge9 af terfp`f prevebe ausm be` oetf-oamjjflt`, bea smtfamam,

beaafc`mbfrmle.

RW pma`cmrge9 `a trfttfceltm prevebe aut`a`zzm percflelte be` oetf-

oamjjflt` e pu essere tfamrf fssmj`ftm faa`cp`fltm b` ul pfje-cfner e

b` ul beor`aaftmre. Le` pfz`elt` fggett` bf tfae fr`tc`f, lgftt`, a r`sjd`m b`

cmrte cprmvv`sf fatm e pmssmlm ver`jfrs`, smprfttuttm l mjjfs`mle b`

sgmrz` m b` ecmz`ml`, tmrs`ml` b` pultf e tfamrf or`aafz`mle veltr`jmafre.

Extrfs`stma`eLejess`tflm b` terfp`f smatfltm ae extrfs`stma` veltr`jmafr` le` smkkett` `l

ju` beterc`lflm ulf s`ltmcftmamk`f smkkett`vf r`aevflte, m le` smkkett`

`l ju` v` s`flm sekl` fssmj`ft` b` jfrb`mc`mpft`f.

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Rfo.-Gfrcfj` flt`fr`tc`j` p` grequeltecelte usft` `l et peb`ftr`jf

Gfrcfjm

Xrmpfgelmle

Gaejf`l`be

Zmtfamam

Fc`mbfrmle

Fbelms`lf

B`kmss`lf

Xrmprflmamam

Lmce

jmccerj`fae

_PRDCMLM_C

Jpr 658-:88 ck

G`fae ;8

ck/?8 ca

FACF_DPRC

Jpr 688 ck

G`fae 658 ck/65

ca

ZMRFAET

_PRDCMOERF

Jpr 48 ck

FC@MBF_

JM_BF_MLE

Jpr ?88 ck

N_ELMZ@L

G`fae 7 ck

`l ? ca

AFLMT@L

@LBE_FA

Jpr 28-48 ck

G`fae 5ck/5 ca

Bmse ev

Omam9 8,5-? ck/nk

Cfltel`celtm9

68 ck/nk/?2 mre

Omam9 6-? ck/nk

/

Jmls`ka`ftm smam

`l fco`elte

fatfcelte

spej`fa`zzftm

Omam9 5 ck/nk

`l :8 c`lut`

Cfltel`celtm9

68 ck/nk/b`e

8.6-8.?5 ck/nk

`l omam rfp`bm

Jfr`jm9 65-?5

kfccf/nk

Cfltel`celtm9

5-; kfccf/nk/b`e

8.85-8.6 ck/nk

Bmse pm

68-65 ck/nk/b`e

:88-788

ck/c?/b`e

`l ?-: bms`

?-; ck/nk/b`e

688-?88

ck/c?/b`e

`l ?-: bms`

2-0 ck/nk/b`e

688-?88

ck/nk/b`e

`l ?-: bms`

5-65 ck/nk/b`e

?58 ck/c?/b`e

`l ulf smaf smc-

c`l`strfz`mle

/

Jfr`jm9 :8

kfccf/nk

Cfltel`celtm

68 kfccf/nk/b`e

6-5 ck/nk/ b`e `l

:-2 bms`

Eggett` jmaafterfa`

B`sturo`

kfstrmelter`j`,

pfrestes`e,

sfa`vfz`mle,

`pmtels`mle, smtrmpm

lekft`vm, faaulkf-

celtm X_ e V_Z

Lfusef, pfrestes`e,

tfamrf v`s`mle flleo-

o`ftf, `pmtels`mle,

`smtrmpm lekft`vm,

faaulkfceltm

X_ e V_Z

Ormljmspfscm,

faaulkfceltm

bea VR, `smtrmpm

lekft`vm,orfb`jfrb`zzflte

Faaulkfceltm XV,

VR. Orfb`jfrb`f.

@pmtels`mle se smc-

c`l`strftm ev. @per/

`pmt`rm`b`scm,

gmtmsels`o`a`t. Lea-

afbmaesjelte e lea-

afbuatm9 bfllm

epft`jm, g`orms`

pmacmlfre

_fsd jutflem,

lfusef, vmc`tm,

jegfaef, oamjjm FW,

`pmtels`mle

Lfusef, vmc`tm,

b`frref, orfb`jfrb`f,

oamjjm FW

Ormljmspfscm,

`pmka`jec`f,

bepress`mle, `ljuo`,

`pmtels`mle,

orfb`jfrb`f, `smtrmpm

lekft`vm

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O`oa`mkrfgf esselz`fae

- ?86? FJJG/FDF/D_Z Gmjuseb Upbfte @ljmrpmrfteb @ltm tde FJJG/FDF/

D_Z ?884 Ku`bea`les gmr Bev`je-Ofseb Rderfpy mg Jfrb`fj _dytdc Fo-lmrcfa`t`es. 9 F _epmrt mg tde Fcer`jfl Jmaaeke mg Jfrb`mamky Gmulbft`ml/

Fcer`jfl Defrt Fssmj`ft`ml Rfsn Gmrje ml Xrfjt`je Ku`bea`les flb tde

Defrt _dytdc Zmj`ety.

I Fc Jmaa Jfrb`ma. ?86:>769e7-;5.

- Dfrreaa BR, Fsd`dfrf R, et fa. Kelmtype-bepelbelt b`ggereljes l fke mg cfl`-

gestft`ml flb frrdytdc`f jmcpa`jft`mls l sdmrt VR sylbrmce. @lt I Jfrb`ma.

?865>6089:0:-28?.

- Dflfsd J_, Jrmssm IE. Ecerkeljy b`fklms`s flb cflfkecelt mg peb`ftr`jfrrdytdc`fs. I Ecerk Rrfucf Zdmjn. ?868> :9 ?56?78.