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[非持续性室性心动过速所致先兆晕厥。射频消融的意义]

[Presyncope caused by non-sustained ventricular tachycardia. Significance of RF ablation].

作者信息

Błaszyk Krzysztof, Waśniewski Michał, Baszko Artur, Derejko Paweł, Cieśliński Andrzej

机构信息

Katedra Kardiologii, I Klinika Kardiologii, Uniwersytet Medyczny im. K. Marcinkowskiego, ul. Długa 1/2, 61-848 Poznań.

出版信息

Kardiol Pol. 2007 Apr;65(4):455-8.

Abstract

We describe a case of a 55-year-old man with episodes of presyncope caused by non-sustained ventricular tachycardia (ns-VT). Symptoms of significant weakness started when he was 30-year-old. In the last 2 years there was a substantial increase in frequency of presyncope from 2 per month to 8 per week. He does not have palpitations. Standard ECG, echocardiography and coronary angiography were normal. During an exercise test ns-VT 220/min (5 s, 20 x QRS) with LBBB morphology was documented. Successful RF ablation of ns-VT using the CARTO system was performed. During 4-month follow-up the patient remains free from ventricular arrhythmia.

摘要

我们描述了一例55岁男性,其因非持续性室性心动过速(ns-VT)发作而出现先兆晕厥。显著乏力症状始于他30岁时。在过去2年中,先兆晕厥的发作频率大幅增加,从每月2次增至每周8次。他没有心悸症状。标准心电图、超声心动图和冠状动脉造影均正常。在运动试验期间,记录到了形态为左束支传导阻滞、心率220次/分钟(5秒,20个QRS波)的ns-VT。使用CARTO系统成功进行了ns-VT的射频消融术。在4个月的随访期间,患者未再出现室性心律失常。

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