Kinugawa T, Fujimoto Y, Miyakoda H, Ogino K, Shigemasa C, Hasegawa J, Kotake H, Mashiba H
First Department of Internal Medicine, Tottori University, Yonago, Japan.
Jpn Circ J. 1989 Jul;53(7):807-12. doi: 10.1253/jcj.53.807.
We report a case of a 37-year-old woman who had paroxysmal ventricular tachycardia (VT) during early pregnancy. She had severe hyperemesis, palpitation at 6 weeks of gestation and many episodes of paroxysmal VT, but no apparent organic heart disease. At that time she had a transient increase of thyroid hormone levels. With bed rest and without medication, her symptoms and episodes of VT disappeared in accordance with the improvement of hyperemesis and thyrotoxicosis. She demonstrated a rare course of arrhythmias in which the deterioration of VT was observed at transient thyrotoxicosis and hyperemesis.
我们报告了一例37岁女性病例,该患者在妊娠早期出现阵发性室性心动过速(VT)。她有严重的妊娠剧吐,在妊娠6周时出现心悸以及多次阵发性室性心动过速发作,但无明显器质性心脏病。当时她甲状腺激素水平短暂升高。通过卧床休息且未用药,随着妊娠剧吐和甲状腺毒症的改善,她的症状及室性心动过速发作消失。她展现出了一种罕见的心律失常病程,即在短暂甲状腺毒症和妊娠剧吐时观察到室性心动过速恶化。