Children's Heart Center, 4480 Oak Street, Vancouver, British Columbia, Canada.
Can J Cardiol. 2010 Feb;26(2):e58-61. doi: 10.1016/s0828-282x(10)70009-x.
Four cases of pediatric cardiac tumours (PCTs) associated with ventricular arrhythmias are reported. Sudden cardiac death attributable to the tumour occurred in two children. A third child received an implantable cardioverter defibrillator and the fourth had persistent ventricular arrhythmia despite medical therapy. Most PCTs are considered benign; however, the development of malignant arrhythmias may complicate the management of these tumours in some patients. The literature regarding the arrhythmogenic potential of PCTs and the use of implantable cardioverter defibrillators in these patients is reviewed. The series highlights the deficiency of prognostic information for this cohort.
报告了 4 例与室性心律失常相关的儿科心脏肿瘤(PCT)。有 2 名儿童因肿瘤导致心源性猝死。第三例患儿接受了植入式心脏复律除颤器治疗,第四例患儿尽管接受了药物治疗,但仍持续出现室性心律失常。大多数 PCT 被认为是良性的;然而,恶性心律失常的发生可能使一些患者的这些肿瘤的管理复杂化。本文回顾了关于 PCT 的致心律失常潜能和在这些患者中使用植入式心脏复律除颤器的文献。该系列突出了该队列缺乏预后信息。