Bieler M, Sefidpar M, Engel U R, Reutter F W
Schweiz Med Wochenschr. 1976 Nov 20;106(47):1647-9.
The case is reported of a 39-year-old male with Steinert's dystrophia myotonica complicated by cardiac arrhythmias manifested by high-degree a-v block with Stokes-Adams attacks. Implantation of a demand-type cardiac pacemaker brought prompt relief from cardiac symptoms and the patient was able to resume work. The pathologico-anatomical findings in dystrophia myotonica are discussed, together with their possible connection with the type of arrhythmias described.
报告了一例39岁男性,患有斯坦纳特肌强直性营养不良,并伴有心律失常,表现为高度房室传导阻滞及斯托克斯-亚当斯发作。植入按需型心脏起搏器后,心脏症状迅速缓解,患者能够恢复工作。文中讨论了肌强直性营养不良的病理解剖学发现,以及它们与所描述的心律失常类型可能存在的联系。