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J Interv Card Electrophysiol. 2014 Sep;40(3):229-35. doi: 10.1007/s10840-014-9886-y. Epub 2014 Mar 14.
2
Arrhythmias originating from the right ventricular outflow tract: how to distinguish "malignant" from "benign"?右心室流出道起源的心律失常：如何区分“恶性”与“良性”？
Heart Rhythm. 2009 Oct;6(10):1507-11. doi: 10.1016/j.hrthm.2009.06.017. Epub 2009 Jun 13.
3
Long-term follow-up of idiopathic ventricular fibrillation ablation: a multicenter study.特发性室性心动过速消融的长期随访：一项多中心研究。
J Am Coll Cardiol. 2009 Aug 4;54(6):522-8. doi: 10.1016/j.jacc.2009.03.065.
4
Malignant entity of idiopathic ventricular fibrillation and polymorphic ventricular tachycardia initiated by premature extrasystoles originating from the right ventricular outflow tract.起源于右心室流出道的早搏引发的特发性心室颤动和多形性室性心动过速的恶性实体。
J Am Coll Cardiol. 2005 Oct 4;46(7):1288-94. doi: 10.1016/j.jacc.2005.05.077.
5
The "short-coupled" variant of right ventricular outflow ventricular tachycardia: a not-so-benign form of benign ventricular tachycardia?右心室流出道室性心动过速的“短联律间期”变体：一种并非那么良性的良性室性心动过速形式？
J Cardiovasc Electrophysiol. 2005 Aug;16(8):912-6. doi: 10.1111/j.1540-8167.2005.50040.x.

消融术后18年良性右心室流出道室性心动过速发生恶性转化

Malignant conversion of benign right ventricular outflow track ventricular tachycardia 18 years post-ablation.

作者信息

Gerstein Wendy H, Gerstein Neal S, Sandoval Andrea, West Michael B

机构信息

Department of Internal Medicine, Raymond G. Murphy VA Medical Center, Albuquerque, NM, USA.

Department of Anesthesiology, University of New Mexico School of Medicine, MSC 10 6000, 1-UNM, Albuquerque, NM 87131, USA.

出版信息

J Arrhythm. 2015 Aug;31(4):240-2. doi: 10.1016/j.joa.2014.11.005. Epub 2014 Dec 30.

DOI:10.1016/j.joa.2014.11.005
PMID:26334331
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4555458/
Abstract

This case report describes the rare phenomenon of malignant conversion of benign right ventricular outflow tract ventricular tachycardia into idiopathic ventricular fibrillation 18 years after successful ablation, in the absence of any type of heart disease. We review the current literature looking at predictors for this event, with the conclusion that there are no reliable risk predictors available. Until clear guidelines exist, we suggest patients be informed and monitored for the possibility of "malignant conversion" following ablation for benign idiopathic outflow tract ventricular tachycardia.

摘要

本病例报告描述了一种罕见现象

良性右心室流出道室性心动过速在成功消融18年后，在没有任何类型心脏病的情况下，恶化为特发性心室颤动。我们回顾了当前关于该事件预测因素的文献，得出的结论是目前尚无可靠的风险预测指标。在明确的指导方针出台之前，我们建议告知患者，并对良性特发性流出道室性心动过速消融术后“恶性转化”的可能性进行监测。