Walczak Franciszek, Zakrzewska-Koperska Joanna, Bobkowski Waldemar, Szumowski Lukasz, Bodalski Robert, Szufladowicz Ewa
Klinika Zaburzeń Rytmu Serca, Instytut Kardiologii, Warszawa.
Kardiol Pol. 2010 Dec;68(12):1408-11.
We present a case of a 14 year-old boy with a incessant fascicular tachycardia with retrograde conduction and tachycardiomyopathy. Verapamil, adenosine, lignocaine and repeated cardioversions were unsuccessful in termination of tachycardia. Amiodarone however caused sinus node dysfunction and temporary electrode pacing had to be used. The patient underwent successful radiofrequency catheter ablation in the area of the left posterior fascicle. Because of ventricular extrasystoles (with QRS morphology resembling that of fascicular VT) the patient underwent second ablation which significantly reduced the number of ventricular beats. The course of subsequent 12-year follow-up was uneventful.
我们报告一例14岁男孩，患有持续性分支性心动过速伴逆行传导及心动过速性心肌病。维拉帕米、腺苷、利多卡因及多次心脏复律均未能终止心动过速。然而，胺碘酮导致窦房结功能障碍，不得不使用临时电极起搏。患者在左后分支区域成功进行了射频导管消融。由于室性期前收缩（QRS形态类似于分支性室性心动过速），患者接受了第二次消融，显著减少了室性搏动次数。随后12年的随访过程顺利。
