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一名10岁男孩的特发性室颤:射频消融的技术要点及抗心律失常治疗的效用

Idiopathic ventricular fibrillation in a 10-year-old boy: technical aspects of radiofrequency ablation and utility of antiarrhythmic therapy.

作者信息

Saba Magdi M, Salim Mubadda, Hood Robert E, Dickfeld Timm-Michael, Shorofsky Stephen R

机构信息

Department of Medicine, University of Maryland Medical Center, Baltimore, Maryland 21201-1595, USA.

出版信息

Pacing Clin Electrophysiol. 2011 Sep;34(9):e85-9. doi: 10.1111/j.1540-8159.2010.02796.x. Epub 2010 Jun 10.

Abstract

Idiopathic ventricular fibrillation (VF) is defined as spontaneous VF in the absence of structural heart disease. No prior reports exist addressing the technical aspects of idiopathic VF ablation in a child. We present the case of a 10-year-old boy with idiopathic VF, who presented a unique management challenge, particularly as regards the technical aspects of the ablation procedure. Ablation of idiopathic VF is feasible in a 10-year-old boy and oral quinidine seems more effective than other antiarrhythmic drugs in this condition.

摘要

特发性室颤(VF)定义为在无结构性心脏病情况下的自发性室颤。此前尚无关于儿童特发性室颤消融技术方面的报道。我们报告一例10岁患特发性室颤的男孩病例,该病例带来了独特的管理挑战,尤其是在消融手术的技术方面。对一名10岁男孩进行特发性室颤消融是可行的,并且在这种情况下,口服奎尼丁似乎比其他抗心律失常药物更有效。

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