RESUMO
Nonpharmacological methods are a novel therapeutic option for tachiarrhythmias. Transcatheter ablation or surgery can cure many arrhythmias, avoiding the collateral effects of antiarrhythmic drugs. Likewise, implantable defibrillators, have changed life expectancy of patients with high risk arrhythmias or sudden death survivors. However, the high cost and sophistication of these methods, preclude their widespread use, thus limiting the number of patients that can be benefited. This article reviews the main nonpharmacological techniques for treatment of arrhythmias, their results and complications.
Assuntos
Ablação por Cateter/métodos , Taquicardia/cirurgia , Contraindicações , Desfibriladores Implantáveis , Eletrofisiologia , Humanos , Prognóstico , Fatores de Risco , Taquicardia/fisiopatologia , Taquicardia Ventricular/cirurgiaRESUMO
Due to the social and economical changes in the Chilean university and health systems in the last decades, the traditional financing model of the Faculty of Medicine and postgraduate training programs became obsolete. The progressive reduction of the fiscal budget has forced the search of alternate financing sources. The payment of specialization is, at the present moment, an obliged, inappropriate and without compensation subsidy of the universities to the public and private health system, that profit of training professionals and to the specialists that acquire skills that will increase their earnings. Equable financing systems should be established in which the direct beneficiaries, institutions or individuals, would pay the expenses. A national scholarship fund or deferred credits seem reasonable alternatives that should be promptly established to allow the survival of university postgraduate training programs.