Volkmann H, Kühnert H, Dannberg G, Heinke M, Büttner A, Küch N
Klinik für Innere Medizin, Friedrich-Schiller-Universität, Jena.
Z Gesamte Inn Med. 1988 Jul 15;43(14):373-7.
In a 46-year-old patient with dilatative cardiomyopathy and medicamentously therapy-resistant focal ventricular tachycardias after endocardial right- and left-ventricular catheter mapping a transvasal electric ablation of the focus of tachycardia was carried out. For this purpose at the left-ventricular-septally localized origin of tachycardia two electroshocks of 100 and 200 J via the electrode catheter positioned there was given. Immediately after ablation a stable sinus rhythm was to be registered; longer persisting recidivations of tachycardia did not appear again subsequently. In the further course the patient suddenly died after transitory haemodynamic improvement, in which case a new, acutely beginning arrhythmia is to be assumed as a prefinal event.
一名46岁患有扩张型心肌病且经药物治疗后仍对心内膜右心室和左心室导管标测的局灶性室性心动过速无效的患者，接受了经血管性心动过速病灶电消融术。为此，在心动过速起源于左心室间隔的部位，通过置于该处的电极导管给予了两次分别为100焦耳和200焦耳的电击。消融术后立即记录到稳定的窦性心律；随后未再出现心动过速的长期复发。在后续病程中，患者在短暂的血流动力学改善后突然死亡，在这种情况下应假定一种新的急性发作性心律失常为临终前事件。
