一名患有丹侬病的年轻患者接受了两次植入式心律转复除颤器（ICD）电击：原因何在？
A young patient with Danon disease receives two ICD shocks: why?
作者信息
Zannad Noura, Pierre Bertrand, Cosnay Pierre, Babuty Dominique
机构信息
Hôpital Trousseau, Cardiology, Tours, France.
出版信息
Pacing Clin Electrophysiol. 2010 May;33(5):618-9. doi: 10.1111/j.1540-8159.2010.02696.x. Epub 2010 Mar 8.
Abstract
We report the case of an 18-year-old man with Danon disease, a genetic disorder inclunding a severe hypertrophic cardiomyopathy with very broad QRS, who had an implantable cardioverter defibrillator for primary prevention. Nine months after implantation, he received two inappropriate shocks due to R-wave double counting during sinus tachycardia. We discuss how to avoid such inappropriate therapy.
摘要
我们报告了一例18岁患有丹侬病的男性病例，丹侬病是一种遗传性疾病，包括严重的肥厚型心肌病且QRS波极宽，该患者植入了植入式心律转复除颤器用于一级预防。植入后九个月，他在窦性心动过速期间因R波双重计数而接受了两次不适当的电击。我们讨论了如何避免这种不适当的治疗。
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