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[复发性室性心动过速作为心脏刺伤的晚期并发症]

[Recurrent ventricular tachycardia as a late complication of a cardiac stab wound].

作者信息

Niedziela Justyna, Wozakowska-Kapłon Beata, Dziubek Katarzyna, Jaskulska-Niedziela Elzbieta, Włosowicz Monika

机构信息

I Kliniczny Oddział Kardiologii, Swietokrzyskie Centrum Kardiologii, 25-736 Kielce.

出版信息

Kardiol Pol. 2010 Jan;68(1):116-9.

Abstract

We present a case of a 55-year-old male who suffered from a cardiac stab wound in his youth and 38 years later developed unstable sustained ventricular tachycardia. Imaging showed presence of a scarf of myocardium which probably caused the arrhythmia. Arrhythmia was successfully controlled using combined treatment with pharmacotherapy and cardioverter-defibrillator implantation. Relapses of ventricular tachycardia treated by appropriate interventions of cardioverter-defibrillator occurred when the patient stopped pharmacotherapy and experienced great psychic stress.

摘要

我们报告一例55岁男性患者,其年轻时曾遭受心脏刺伤,38年后出现不稳定的持续性室性心动过速。影像学检查显示存在心肌束带,这可能是导致心律失常的原因。通过药物治疗和植入心脏复律除颤器的联合治疗成功控制了心律失常。当患者停止药物治疗并经历巨大精神压力时,心脏复律除颤器的适当干预治疗可使室性心动过速复发。

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