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孤立性心室心肌致密化不全患者晕厥的罕见病因

Uncommon etiology of syncope in a patient with isolated ventricular noncompaction.

作者信息

Enriquez Susana G, Entem Felipe R, Cobo Manuel, Olalla Juan Jose

机构信息

Cardiology Departament, HU Marques de Valdecilla, Santander, Cantabria, Spain.

出版信息

Pacing Clin Electrophysiol. 2007 Apr;30(4):577-9. doi: 10.1111/j.1540-8159.2007.00713.x.

Abstract

Isolated noncompaction of left ventricular myocardium (IVNC) is categorized as an unclassified cardiomyopathy by the World Health Organization. We describe the case of a 29-year-old woman who was diagnosed with IVNC after suffering two syncopes caused by an atrioventricular nodal reentrant tachycardia (AVNRT) that was successfully ablated. We report successful radiofrequency ablation in an adult with this cardiomyopathy. Although the presence of syncope in these patients obliged us to rule out a ventricular tachycardia as the most probable etiology, our case shows how an exhaustive study is needed to look for other possible and curable causes.

摘要

孤立性左心室心肌致密化不全(IVNC)被世界卫生组织归类为未分类的心肌病。我们描述了一名29岁女性的病例,她在因房室结折返性心动过速(AVNRT)导致两次晕厥后被诊断为IVNC,该心动过速已成功消融。我们报告了在一名患有这种心肌病的成年人中成功进行射频消融的情况。尽管这些患者出现晕厥使我们不得不排除室性心动过速作为最可能的病因,但我们的病例表明,需要进行详尽的研究以寻找其他可能且可治愈的病因。

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