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微伏级T波电交替试验阳性而电生理检查阴性患者的自发性室性心动过速和颤动

Spontaneous ventricular tachycardia and fibrillation in a patient with a positive microvolt T wave alternans test and negative electrophysiological study.

作者信息

Molon Giulio, Marangoni Danielle, Barbieri Enrico

机构信息

Department of Cardiology, Sacro Cuore Hospital, Verona, Italy.

出版信息

Pacing Clin Electrophysiol. 2004 Jan;27(1):120-2. doi: 10.1111/j.1540-8159.2004.00399.x.

DOI:10.1111/j.1540-8159.2004.00399.x
PMID:14720169
Abstract

This report describes a patient with a previous myocardial infarction who presented with syncope. The patient had a positive microvolt T wave alternans test, a negative electrophysiological study, and a normal heart rate variability. In hospital, the patient had episodes of ventricular tachycardia and fibrillation. An implantable cardioverter defibrillator was implanted and during the following week it discharged appropriately.

摘要

本报告描述了一名既往有心肌梗死病史且出现晕厥症状的患者。该患者微伏级T波交替试验呈阳性，电生理检查呈阴性，心率变异性正常。在医院期间，该患者发生室性心动过速和心室颤动发作。植入了植入式心脏复律除颤器，在接下来的一周内其放电正常。

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