[家族性肥厚型心肌病恶性形式并发兄弟姐妹心室颤动。肥厚型心肌病的心电图——综述]

[Malignant form of familial hypertrophic cardiomyopathy complicated with ventricular fibrillation in siblings. Electrocardiogram in hypertrophic cardiomyopathy - a review].

作者信息

Kukla Piotr, Petkow-Dimitrow Paweł, Jastrzebski Marek, Bednarek Jacek, Lelakowski Jacek, Bryniarski Leszek

机构信息

Oddział Chorób Wewnetrznych, Szpital Specjalistyczny, Gorlice.

出版信息

Kardiol Pol. 2009 Jul;67(7):774-80; discussion 781.

PMID:19650001

Abstract

A family with hypertrophic cardiomyopathy (HCM) (15-year-old boy, his 17-year-old sister and 45-year-old father) is described. The first sign of HCM was cardiac arrest (CA) due to ventricular fibrillation (VF) in a boy. A few months later sister of proband had the episode of CA due to VF. Both had implanted cardioverter-defibrillator (ICD). Echocardiography revealed HCM in both cases and in a father, who also received prophylactic ICD. During 24-month follow-up fast VT was observed in sister of proband. We review electrocardiographic changes in HCM and their correlation with magnetic resonance.

摘要

本文描述了一个患有肥厚型心肌病（HCM）的家庭（一名15岁男孩、他17岁的姐姐和45岁的父亲）。该男孩肥厚型心肌病的首个症状是因室颤（VF）导致的心脏骤停（CA）。几个月后，先证者的姐姐也出现了因室颤导致的心脏骤停发作。两人均植入了心脏复律除颤器（ICD）。超声心动图显示两人及他们的父亲均患有肥厚型心肌病，其父亲也接受了预防性ICD植入。在24个月的随访期间，先证者的姐姐出现了快速室性心动过速。我们回顾了肥厚型心肌病的心电图变化及其与磁共振成像的相关性。