Braverman A C, Bromley B S, Rutherford J D
Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115.
Int J Cardiol. 1991 Dec;33(3):409-12. doi: 10.1016/0167-5273(91)90070-6.
A previously healthy young woman who developed the new onset of symptomatic sustained ventricular tachycardia during pregnancy is described. Evaluation revealed mitral valve prolapse with minimal mitral regurgitation, and normal left ventricular size and function. The arrhythmia resolved after delivery, but recurred nine months later in a nonsustained form. Electrophysiologic study revealed only nonsustained ventricular tachycardia, and she was treated with propafenone. It is suggested that the pregnant state may have been important in the pathogenesis of her arrhythmia.
本文描述了一名既往健康的年轻女性，她在孕期出现了有症状的持续性室性心动过速。评估显示二尖瓣脱垂伴轻度二尖瓣反流，左心室大小和功能正常。心律失常在分娩后缓解，但9个月后以非持续性形式复发。电生理检查仅发现非持续性室性心动过速，她接受了普罗帕酮治疗。提示妊娠状态可能在其心律失常的发病机制中起重要作用。
