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年轻人的头晕与晕厥:思路要开阔!致心律失常性右室心肌病/发育不良(ARVC/D)与儿茶酚胺能多形性室性心动过速(CPVT)鉴别诊断难题的病例报告

Dizziness and syncope in young people: keep your mind open! Case report of the challenging differentiation between arrhythmogenic right ventricular cardiomyopathy/dysplasia (ARVC/D) and catecholaminergic polymorphic ventricular tachycardia (CPVT).

作者信息

Comelli Ivan, Gonzi Gianluca, Mossini Gianluigi, Lippi Giuseppe, Meschi Tiziana, Borghi Loris, Cervellin Gianfranco

机构信息

University Hospital of Parma, Italy.

出版信息

Acta Biomed. 2014 May 9;85(1):73-80.

Abstract

A paradigmatic case of aborted sudden cardiac death (SCD) in a young man is discussed, mirroring the challenge of diagnosing the various conditions potentially underlying this dramatic condition. Based on the clinical characteristics of our case, presenting some overlapping clinical features common to both the diseases, the discussion will be focused on Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT) and Arrhythmogenic Right Ventricular Cardiomyopathy/Dysplasia (ARVC/D). Epidemiological, genetic, diagnostic and therapeutic aspect will be discussed.

摘要

本文讨论了一名年轻男性心脏性猝死(SCD)未遂的典型病例,反映出诊断这一严重疾病潜在的各种病因所面临的挑战。基于该病例的临床特征,呈现出两种疾病共有的一些重叠临床特征,讨论将聚焦于儿茶酚胺能多形性室性心动过速(CPVT)和致心律失常性右室心肌病/发育不良(ARVC/D)。将对流行病学、遗传学、诊断和治疗方面进行讨论。

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