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一名18岁运动员心脏骤停后的多模态成像

Multimodal Imaging after Sudden Cardiac Arrest in an 18-Year-Old Athlete.

作者信息

Afari Maxwell E, Rehman Mobeen Ur, Atalay Michael K, Broderick Ryan J

出版信息

Tex Heart Inst J. 2015 Dec 1;42(6):548-51. doi: 10.14503/THIJ-14-4374. eCollection 2015 Dec.

DOI:10.14503/THIJ-14-4374
PMID:26664308
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4665282/
Abstract

We report the case of a previously healthy 18-year-old male athlete who twice presented with sudden cardiac arrest. Our use of electrocardiography, echocardiography, cardiac magnetic resonance, coronary angiography, coronary computed tomographic angiography, and nuclear stress testing enabled the diagnoses of apical hypertrophic cardiomyopathy and anomalous origin of the right coronary artery. We discuss the patient's treatment and note the useful role of multiple cardiovascular imaging methods in cases of sudden cardiac arrest.

摘要

我们报告了一例既往健康的18岁男性运动员，该患者曾两次出现心脏骤停。我们通过使用心电图、超声心动图、心脏磁共振、冠状动脉造影、冠状动脉计算机断层血管造影和核素负荷试验，诊断出患者患有心尖肥厚型心肌病和右冠状动脉异常起源。我们讨论了该患者的治疗情况，并指出多种心血管成像方法在心脏骤停病例中的有用作用。

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Multimodal Imaging after Sudden Cardiac Arrest in an 18-Year-Old Athlete.一名18岁运动员心脏骤停后的多模态成像
Tex Heart Inst J. 2015 Dec 1;42(6):548-51. doi: 10.14503/THIJ-14-4374. eCollection 2015 Dec.
2
Multimodality imaging for resuscitated sudden cardiac death.复苏后心源性猝死的多模态成像
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3
Sudden cardiac death in athlete with anomalous single coronary artery.
Cardiovasc Revasc Med. 2005 Apr-Jun;6(2):89-90. doi: 10.1016/j.carrev.2005.06.004.
4
Sudden cardiac arrest in a young patient with hypertrophic cardiomyopathy and zero canonical risk factors: the inherent limitations of risk stratification in hypertrophic cardiomyopathy.一名患有肥厚型心肌病且无典型危险因素的年轻患者发生心脏骤停：肥厚型心肌病风险分层的内在局限性
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Kardiol Pol. 2013;71(4):430. doi: 10.5603/KP.2013.0078.
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Nonobstructive hypertrophic cardiomyopathy with left ventricular aneurysm: the role of cardiac magnetic resonance.非梗阻性肥厚型心肌病合并左心室室壁瘤：心脏磁共振成像的作用
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Anomalous origin of right coronary artery associated with hypertrophic obstructive cardiomyopathy.右冠状动脉异常起源并伴发肥厚型梗阻性心肌病。
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[Hypertrophic cardiomyopathy associated with anomalous origin of the left coronary artery from the right sinus of valsalva].[肥厚型心肌病合并左冠状动脉起源于右冠状动脉窦异常]
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Cardiac imaging and stress testing asymptomatic athletes to identify those at risk of sudden cardiac death.对无症状运动员进行心脏影像学和应激测试，以识别那些有发生心源性猝死风险的运动员。
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引用本文的文献

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Should the ECG Be Excluded from Sports Certification Screening? A Typical Case Supports Inclusion.心电图应被排除在运动认证筛查之外吗？一个典型案例支持将其纳入。
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本文引用的文献

1
Prognostic value of late gadolinium enhancement in clinical outcomes for hypertrophic cardiomyopathy.晚期钆增强在肥厚型心肌病临床结局中的预测价值。
JACC Cardiovasc Imaging. 2012 Apr;5(4):370-7. doi: 10.1016/j.jcmg.2011.11.021.
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Congenital anomalies of coronary arteries: Diagnosis with 64 slice multidetector CT.先天性冠状动脉异常：64 层多排 CT 的诊断。
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Sudden death in hypertrophic cardiomyopathy.肥厚型心肌病中的猝死。
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The case for myocardial ischemia in hypertrophic cardiomyopathy.肥厚型心肌病中心肌缺血的情况。
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Trends in sudden cardiovascular death in young competitive athletes after implementation of a preparticipation screening program.实施赛前筛查计划后年轻竞技运动员心源性猝死的趋势
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Efficacy of implantable cardioverter-defibrillators for the prevention of sudden death in patients with hypertrophic cardiomyopathy.植入式心脏复律除颤器对肥厚型心肌病患者预防猝死的疗效。
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Hypertrophic nonobstructive cardiomyopathy with giant negative T waves (apical hypertrophy): ventriculographic and echocardiographic features in 30 patients.伴有巨大倒置T波的肥厚型非梗阻性心肌病（心尖肥厚）：30例患者的心室造影和超声心动图特征
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Giant T wave inversion as a manifestation of asymmetrical apical hypertrophy (AAH) of the left ventricle. Echocardiographic and ultrasono-cardiotomographic study.巨大T波倒置作为左心室不对称性心尖肥厚（AAH）的一种表现。超声心动图和超声心动断层扫描研究。
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