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先天性矫正性大动脉转位的体循环右心室交感神经功能障碍。

Sympathetic dysfunction of systemic right ventricle in congenitally corrected transposition of the great arteries.

机构信息

Division of Cardiology, Department of Medicine, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawaku, Tokyo, 142-8666, Japan.

出版信息

Int J Cardiovasc Imaging. 2010 Jun;26(5):483-4. doi: 10.1007/s10554-009-9564-9. Epub 2009 Dec 30.

Abstract

We evaluate the systemic right ventricle (SRV) failure of congenitally corrected transposition of the great arteries using the scintigraphic studies in a case with 32-year-old male who improved the heart failure by the use of beta-adrenergic blockers. The myocardial perfusion sympathetic nervous system activity mismatch with preserved coronary flow and wall thickness indicates a distinctive feature as SRV cardiomyopathy, suggesting the importance of recovery of SRV sympathetic dysfunction for improving the prognosis.

摘要

我们通过对一位 32 岁男性患者的闪烁扫描研究来评估先天性矫正型大动脉转位的系统性右心室(SRV)衰竭,该患者通过使用β肾上腺素能阻滞剂改善了心力衰竭。心肌灌注与交感神经系统活性不匹配但保留冠状动脉血流和壁厚度,表明这是一种独特的 SRV 心肌病特征,提示恢复 SRV 交感神经功能障碍对改善预后的重要性。

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