Peake Simon Tc, Mehta Paresh A, Dubrey Simon W
Department of Cardiology, The Hillingdon Hospital, Middlesex UK.
J Med Case Rep. 2007 Oct 22;1:111. doi: 10.1186/1752-1947-1-111.
Sustained chronic tachyarrhythmias often cause a deterioration of cardiac function known as tachycardia-induced cardiomyopathy or tachycardiomyopathy.The incidence of tachycardia-induced cardiomyopathy is unknown, but in selected studies of patients with atrial fibrillation, approximately 25% to 50% of those with left ventricular dysfunction had some degree of tachycardia-induced cardiomyopathy. It is an important clinical entity due to the high incidence and potential reversibility of the disease process.This case describes a cardiomyopathy induced by excess caffeine consumption. Six months following withdrawal of caffeine from the subject's diet, full resolution of symptoms occurred.
持续性慢性快速性心律失常常导致心脏功能恶化,即所谓的心动过速性心肌病或心动过速心肌病。心动过速性心肌病的发病率尚不清楚,但在针对心房颤动患者的部分研究中,约25%至50%的左心室功能障碍患者存在一定程度的心动过速性心肌病。由于该疾病过程的高发病率和潜在可逆性,它是一个重要的临床实体。本病例描述了因过量摄入咖啡因诱发的心肌病。在受试者饮食中停用咖啡因六个月后,症状完全缓解。