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预激综合征合并心房颤动的一种罕见表现:心动过速性心肌病。

A rare manifestation of atrial fibrillation in the presence of Wolff-Parkinson-White syndrome: tachycardia-induced cardiomyopathy.

作者信息

Değirmencioğu Aleks, Karakuş Gültekin, Baysal Erkan, Zencirci Ertuğrul, Çakmak Nazmiye

机构信息

Department of Cardiology, Acıbadem University Faculty of Medicine, İstanbul, Turkey.

Department of Cardiology, Acıbadem Maslak Hospital, İstanbul, Turkey.

出版信息

Turk Kardiyol Dern Ars. 2014 Mar;42(2):178-81. doi: 10.5543/tkda.2014.69812.

Abstract

We report a 68-year-old man who presented with heart failure and atrial fibrillation (AF) with rapid ventricular response and wide QRS complexes. Tachycardia-induced cardiomyopathy (TIC) due to persistent AF developing on the basis of Wolff-Parkinson-White (WPW) syndrome was considered. Signs and symptoms of heart failure improved with restoration of sinus rhythm. This case suggested that persistent AF in a patient with WPW syndrome is one of the rare causes of TIC.

摘要

我们报告了一名68岁男性,他因心力衰竭、伴有快速心室反应和宽QRS波群的心房颤动(AF)前来就诊。考虑为基于预激综合征(WPW)发生的持续性AF所致的心动过速性心肌病(TIC)。随着窦性心律的恢复,心力衰竭的体征和症状有所改善。该病例提示,WPW综合征患者的持续性AF是TIC的罕见病因之一。

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