Naidoo D P, Bhorat I, Moodley J, Naidoo J K, Mitha A S
Medical School, University of Natal, Durban, South Africa.
Am J Obstet Gynecol. 1991 Feb;164(2):530-3. doi: 10.1016/s0002-9378(11)80014-1.
Twenty-four patients first seen with hypertensive crises during pregnancy were studied by continuous electrocardiographic monitoring for a period of 24 hours to detect the presence of serious ventricular arrhythmias. Three patients were excluded from analysis because of low serum potassium levels. Thirteen of the remaining 21 patients had ventricular tachycardia on subsequent analysis of the electrocardiogram. These arrhythmias subsided after induction of anesthesia when blood pressure control was optimal. This finding may be implicated in the pathogenesis of pulmonary edema and sudden death in these patients.
对24例首次在孕期出现高血压危象的患者进行了24小时连续心电图监测，以检测严重室性心律失常的存在。3例患者因血清钾水平低而被排除在分析之外。在对其余21例患者随后的心电图分析中，有13例出现室性心动过速。当血压控制最佳时，这些心律失常在麻醉诱导后消退。这一发现可能与这些患者肺水肿和猝死的发病机制有关。
