• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

一名患有血色素沉着症的女性出现晕厥和诱发性室颤。

Syncope and inducible ventricular fibrillation in a woman with hemochromatosis.

作者信息

Strobel J S, Fuisz A R, Epstein A E, Plumb V J

机构信息

Division of Cardiovascular Disease, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama 35294, USA.

出版信息

J Interv Card Electrophysiol. 1999 Oct;3(3):225-9. doi: 10.1023/a:1009891406964.

DOI:10.1023/a:1009891406964
PMID:10490478
Abstract

BACKGROUND

Hemochromatosis has been associated with atrial tachyarrhythmias and congestive heart failure as a consequence of dilated or restrictive cardiomyopathy. Inducible ventricular fibrillation has not been previously described.

METHODS AND RESULTS

An electrophysiologic study was conducted in a woman after two episodes of syncope. Polymorphic ventricular tachycardia (PMVT) and ventricular fibrillation (VF) were induced with ventricular programmed stimulation. Magnetic resonance imaging demonstrated signal loss in the liver consistent with hemochromatosis, but normal cardiac size and function. Hematologic studies supported a diagnosis of hemochromatosis.

CONCLUSION

Cardiac hemochromatosis may be associated with serious ventricular arrhythmias.

摘要

背景

血色素沉着症与心房快速性心律失常及扩张型或限制型心肌病导致的充血性心力衰竭有关。此前尚未有关于可诱导性室颤的描述。

方法与结果

对一名经历两次晕厥发作的女性进行了电生理研究。通过心室程控刺激诱发出多形性室性心动过速(PMVT)和室颤(VF)。磁共振成像显示肝脏信号缺失,符合血色素沉着症表现,但心脏大小和功能正常。血液学研究支持血色素沉着症的诊断。

结论

心脏血色素沉着症可能与严重室性心律失常有关。

相似文献

1
Syncope and inducible ventricular fibrillation in a woman with hemochromatosis.一名患有血色素沉着症的女性出现晕厥和诱发性室颤。
J Interv Card Electrophysiol. 1999 Oct;3(3):225-9. doi: 10.1023/a:1009891406964.
2
Idiopathic ventricular arrhythmias detected by an implantable loop recorder in a child with exercise-induced syncope.一名运动诱发晕厥儿童通过植入式循环记录仪检测到特发性室性心律失常。
Tex Heart Inst J. 2013;40(3):347-9.
3
Implantable defibrillator event rates in patients with idiopathic dilated cardiomyopathy, nonsustained ventricular tachycardia on Holter and a left ventricular ejection fraction below 30%.特发性扩张型心肌病、动态心电图显示非持续性室性心动过速且左心室射血分数低于30%的患者植入式除颤器事件发生率。
J Am Coll Cardiol. 2002 Mar 6;39(5):780-7. doi: 10.1016/s0735-1097(01)01822-8.
4
Differences in mechanisms and outcomes of syncope in patients with coronary disease or idiopathic left ventricular dysfunction as assessed by electrophysiologic testing.通过电生理检查评估冠心病或特发性左心室功能障碍患者晕厥的机制和结局差异。
J Am Coll Cardiol. 2004 Aug 4;44(3):594-601. doi: 10.1016/j.jacc.2004.03.075.
5
Spontaneously terminating ventricular fibrillation and asystole induced by silent ischaemia causing recurrent syncope.由无症状性缺血引起反复晕厥的自发性终止室颤和心搏停止。
Heart. 1998 Jul;80(1):86-8. doi: 10.1136/hrt.80.1.86.
6
Ventricular Tachyarrhythmias in Patients With Hypertrophic Cardiomyopathy and Defibrillators: Triggers, Treatment, and Implications.肥厚型心肌病合并除颤器患者的室性快速心律失常:触发因素、治疗及意义
J Cardiovasc Electrophysiol. 2017 May;28(5):531-537. doi: 10.1111/jce.13194. Epub 2017 Mar 31.
7
A case of vagally mediated idiopathic ventricular fibrillation.一例迷走神经介导的特发性心室颤动。
Nat Clin Pract Cardiovasc Med. 2008 Feb;5(2):111-5. doi: 10.1038/ncpcardio1082.
8
Clinical significance of syncope in the electrophysiologic study versus electrocardiographic monitoring (ESVEM) trial. The ESVEM Investigators.晕厥在电生理研究与心电图监测(ESVEM)试验中的临床意义。ESVEM研究人员。
Am Heart J. 1999 May;137(5):878-86. doi: 10.1016/s0002-8703(99)70412-6.
9
Ventricular fibrillation induced by coagulating mode bipolar electrocautery during pacemaker implantation in Myotonic Dystrophy type 1 patient.1型强直性肌营养不良患者起搏器植入期间,凝固模式双极电灼诱发心室颤动。
Acta Myol. 2014 Dec;33(3):149-51.
10
Self-terminated ventricular fibrillation and recurrent syncope.自行终止的心室颤动和反复晕厥。
Am J Cardiol. 2011 Feb 15;107(4):638-40. doi: 10.1016/j.amjcard.2010.10.025.

引用本文的文献

1
Impact of RNA testing on cardiac variant interpretation and patient management.RNA检测对心脏变异解读及患者管理的影响。
HeartRhythm Case Rep. 2019 May 8;5(8):402-406. doi: 10.1016/j.hrcr.2019.04.008. eCollection 2019 Aug.
2
A patient with a rare cause of elevated troponin I.一名肌钙蛋白I升高病因罕见的患者。
Clin Res Cardiol. 2015 Sep;104(9):794-7. doi: 10.1007/s00392-015-0864-x. Epub 2015 Apr 28.
3
Incidence of cardiac arrhythmias in asymptomatic hereditary hemochromatosis subjects with C282Y homozygosity.无症状遗传性血色素沉着症 C282Y 纯合子患者心律失常的发生率。

本文引用的文献

1
PATHOLOGY OF THE CARDIAC CONDUCTION SYSTEM IN HEMOCHROMATOSIS.
N Engl J Med. 1964 Jul 9;271:92-4. doi: 10.1056/NEJM196407092710209.
2
Idiopathic hemochromatosis, an iron storage disease. A. Iron metabolism in hemochromatosis.特发性血色素沉着症,一种铁储存疾病。A. 血色素沉着症中的铁代谢。
Medicine (Baltimore). 1955 Dec;34(4):381-430. doi: 10.1097/00005792-195512000-00001.
3
Sustained ventricular tachycardia in cardiac hemochromatosis treated with amiodarone.胺碘酮治疗心脏血色素沉着症所致的持续性室性心动过速
Am J Cardiol. 2012 Mar 15;109(6):856-60. doi: 10.1016/j.amjcard.2011.11.011. Epub 2011 Dec 22.
4
Sudden cardiac death in hereditary hemochromatosis: an underestimated cause of death?遗传性血色素沉着症中的心脏性猝死:一个被低估的死因?
Int J Legal Med. 2004 Jun;118(3):174-7. doi: 10.1007/s00414-004-0451-6. Epub 2004 May 7.
J Electrocardiol. 1997 Apr;30(2):147-9. doi: 10.1016/s0022-0736(97)80024-6.
4
A novel MHC class I-like gene is mutated in patients with hereditary haemochromatosis.一种新的MHC I类样基因在遗传性血色素沉着症患者中发生突变。
Nat Genet. 1996 Aug;13(4):399-408. doi: 10.1038/ng0896-399.
5
Sick sinus syndrome as the early manifestation of cardiac hemochromatosis.病态窦房结综合征作为心脏血色素沉着症的早期表现。
J Electrocardiol. 1994 Jan;27(1):91-6. doi: 10.1016/s0022-0736(05)80114-1.
6
Myocardial involvement in idiopathic hemochromatosis. Morphologic and clinical improvement following venesection.特发性血色素沉着症的心肌受累。静脉切开术后的形态学及临床改善。
Am J Med. 1981 Jun;70(6):1275-9. doi: 10.1016/0002-9343(81)90838-x.
7
Hereditary haemochromatosis.遗传性血色素沉着症
Clin Haematol. 1982 Jun;11(2):411-35.
8
Primary hemochromatosis: anatomic and physiologic characteristics of the cardiac ventricles and their response to phlebotomy.
Am J Cardiol. 1984 Jul 1;54(1):153-9. doi: 10.1016/0002-9149(84)90321-7.
9
Histochemical studies of the myocardium and conduction system in acquired iron-storage disease.获得性铁储存疾病中心肌和传导系统的组织化学研究。
Circulation. 1967 Apr;35(4):631-7. doi: 10.1161/01.cir.35.4.631.
10
Iron in the heart. Etiology and clinical significance.心脏中的铁。病因及临床意义。
Am J Med. 1971 Aug;51(2):209-21. doi: 10.1016/0002-9343(71)90240-3.