Gelb B D, Denfield S, Friedman R, Garson A T, Price J, Bricker J T, Towbin J A
Lillie Frank Abercrombie Section of Cardiology, Texas Children's Hospital, Houston 77030.
J Heart Lung Transplant. 1991 Nov-Dec;10(6):1033-5.
A nine-year-old girl had an episode of atrial flutter and a nonsustained wide QRS tachycardia during her initial hospitalization after orthotopic heart transplantation. Evaluation of her ECG and telemetric tracing revealed atrial flutter of the recipient atrium and sinus rhythm of the donor atrium. The wide QRS tachycardia was an accelerated ventricular rhythm that was also found on subsequent 24-hour ambulatory ECG monitoring. Timely recognition of recipient atrial arrhythmias prevents inappropriate clinical intervention.
一名9岁女孩在原位心脏移植后的首次住院期间发生了一次心房扑动和一次非持续性宽QRS心动过速。对其心电图和遥测记录的评估显示，受者心房为心房扑动，供者心房为窦性心律。宽QRS心动过速是一种加速性室性心律，在随后的24小时动态心电图监测中也被发现。及时识别受者的房性心律失常可避免不适当的临床干预。
