Wöllner Kirsten, Doberentz Elke, Madea Burkhard
Arch Kriminol. 2015 Mar-Apr;235(3-4):110-6.
The Wolff-Parkinson-White syndrome is a usually benign heart disease with accessory pathways. Circling excitations arise between atria and ventricles which can lead to cardiac arrhythmias. Cases of sudden cardiac death are rare (0.2 %). Risk factors for sudden cardiac death in patients with WPW syndrome are old age, several accessory pathways, male sex and previous syncopes. A 16-year-old girl was found lying dead in her bed. The evening before, she didn't feel well and complained about abdominal pain. The girl had known epilepsy and Wolff- Parkinson-White syndrome. The macroscopic and histological findings are presented and discussed with reference to the pertinent literature.
预激综合征是一种通常为良性的伴有附加通路的心脏病。心房和心室之间会出现环形激动,这可能导致心律失常。心源性猝死病例很少见(0.2%)。预激综合征患者心源性猝死的危险因素包括高龄、多条附加通路、男性以及既往晕厥史。一名16岁女孩被发现死在床上。前一晚,她感觉不适并诉说腹痛。该女孩患有癫痫和预激综合征。本文结合相关文献展示并讨论了大体及组织学检查结果。