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宽QRS波心动过速的罕见病因。

Rare Cause of Wide QRS Tachycardia.

作者信息

Mironov Nikolay Yu, Mironova Natalia A, Saidova Marina A, Stukalova Olga V, Golitsyn Sergey P

机构信息

Department of Clinical Electrophysiology, Russian Cardiology Research Center, Russia.

Department of Sonography, Russian Cardiology Research Center, Russia.

出版信息

Case Rep Cardiol. 2015;2015:151269. doi: 10.1155/2015/151269. Epub 2015 Dec 15.

DOI:10.1155/2015/151269
PMID:26788375
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4693017/
Abstract

Cardiac involvement is a well-known feature of neuromuscular diseases. Most commonly cardiac manifestations occur later in the course of the disease. Occasionally severe cardiac disease, including conduction disturbances, life-threatening arrhythmias, and cardiomyopathy, with its impact on prognosis, may be dissociated from peripheral myopathy. We report a case of bundle branch reentrant ventricular tachycardia as primary manifestation of myotonic dystrophy and discuss associated diagnostic and treatment challenges.

摘要

心脏受累是神经肌肉疾病的一个众所周知的特征。最常见的心脏表现出现在疾病进程的后期。偶尔，严重的心脏疾病，包括传导障碍、危及生命的心律失常和心肌病及其对预后的影响，可能与周围性肌病无关。我们报告一例以束支折返性室性心动过速为强直性肌营养不良主要表现的病例，并讨论相关的诊断和治疗挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0351/4693017/d9dfae4ae91a/CRIC2015-151269.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0351/4693017/328606837d8f/CRIC2015-151269.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0351/4693017/937232042125/CRIC2015-151269.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0351/4693017/e443ca5e4571/CRIC2015-151269.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0351/4693017/d9dfae4ae91a/CRIC2015-151269.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0351/4693017/328606837d8f/CRIC2015-151269.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0351/4693017/937232042125/CRIC2015-151269.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0351/4693017/e443ca5e4571/CRIC2015-151269.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0351/4693017/d9dfae4ae91a/CRIC2015-151269.004.jpg

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1
Rare Cause of Wide QRS Tachycardia.宽QRS波心动过速的罕见病因。
Case Rep Cardiol. 2015;2015:151269. doi: 10.1155/2015/151269. Epub 2015 Dec 15.
2
[Ventricular Tachycardia as a First Manifestation of Myotonic Dystrophy].[室性心动过速作为强直性肌营养不良的首发表现]
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Catheter ablation of coexistent bundle branch and interfascicular reentrant ventricular tachycardias.共存束支与分支间折返性室性心动过速的导管消融术
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Ventricular tachycardia with QRS configuration similar to that in sinus rhythm and a myocardial origin: differential diagnosis with bundle branch reentry.QRS形态与窦性心律相似且起源于心肌的室性心动过速：与束支折返性心动过速的鉴别诊断
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[Conduction disturbances and cardiac arrhythmias in myotonic dystrophy--diagnosis and clinical significance in adult populations].[强直性肌营养不良中的传导障碍和心律失常——成人患者的诊断及临床意义]
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Bundle branch reentrant tachycardia treated by electrical ablation of the right bundle branch.经右束支电消融治疗的束支折返性心动过速
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Heart Rhythm. 2009 Jan;6(1):51-8. doi: 10.1016/j.hrthm.2008.09.028. Epub 2008 Sep 27.

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Brain pathology in myotonic dystrophy: when tauopathy meets spliceopathy and RNAopathy.强直性肌营养不良症中的脑病理学：当tau蛋白病遇上剪接病和RNA病。
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The frequency and severity of cardiac involvement in myotonic dystrophy type 2 (DM2): long-term outcomes.
肌强直性营养不良 2 型（DM2）心脏受累的频率和严重程度：长期结局。
Int J Cardiol. 2013 Sep 30;168(2):1147-53. doi: 10.1016/j.ijcard.2012.11.076. Epub 2012 Dec 23.
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The risk of delayed atrioventricular and intraventricular conduction block following ablation of bundle branch reentry.消融希氏束折返性心动过速后发生房室和室内传导阻滞的风险。
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The myotonic dystrophies: molecular, clinical, and therapeutic challenges.肌强直性营养不良症：分子、临床和治疗挑战。
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2011 ACCF/AHA guideline for the diagnosis and treatment of hypertrophic cardiomyopathy: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines.2011年美国心脏病学会基金会/美国心脏协会肥厚型心肌病诊断与治疗指南：美国心脏病学会基金会/美国心脏协会实践指南工作组报告
Circulation. 2011 Dec 13;124(24):e783-831. doi: 10.1161/CIR.0b013e318223e2bd. Epub 2011 Nov 8.
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Pacemaker and implantable cardioverter-defibrillator use in a US myotonic dystrophy type 1 population.在美国肌强直性营养不良 1 型人群中起搏器和植入式心脏复律除颤器的使用。
J Cardiovasc Electrophysiol. 2011 Dec;22(12):1369-75. doi: 10.1111/j.1540-8167.2011.02200.x. Epub 2011 Oct 28.
8
Electrocardiographic abnormalities and sudden death in myotonic dystrophy type 1.1型强直性肌营养不良症的心电图异常与猝死
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Genetic risk factors associated with lipid-lowering drug-induced myopathies.与降脂药物引起的肌病相关的遗传风险因素。
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Myotonic dystrophy and the heart.强直性肌营养不良症与心脏
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