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[吞咽诱发的阵发性室上性心动过速]

[Paroxysmal supraventricular tachycardia induced by deglutition].

作者信息

Tison E, Degroote P, Loubeyre C, Delmotte C, Ducloux G

机构信息

Service de Cardiologie C, Hôpital Cardiologique, Lille.

出版信息

Ann Cardiol Angeiol (Paris). 1991 Mar;40(3):141-5.

PMID:2042927
Abstract

The authors report the case of a 43-year-old man with runs of tachycardia, sometimes atrial and sometimes by reentry, induced by atrial extrasystoles provoked by ewallowing. This rare condition, 21 descriptions of which are referred to, raises the problem of the inducing mechanism, with discussion of the role of mechanical stimulus played by the alimentary bolus or of a reflex of ortho- or parasympathetic origin. The discussion includes a detailed review of this condition and its treatment. The prognosis is always excellent but symptomatic discomfort may be considerable. Spontaneous recovery is possible, as in the case described here.

摘要

作者报告了一例43岁男性患者的病例,该患者因吞咽诱发房性期前收缩,进而引发心动过速发作,有时为房性心动过速,有时为折返性心动过速。文中提及了21例关于这种罕见病症的描述,这引发了诱发机制的问题,同时讨论了食团所起的机械刺激作用或起源于正位或副交感神经的反射作用。讨论内容包括对该病症及其治疗的详细综述。预后通常良好,但症状性不适可能较为明显。如同此处所描述的病例一样,有可能实现自发恢复。

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