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一例妊娠期阵发性室性心动过速病例。

A case of paroxysmal ventricular tachycardia during pregnancy.

作者信息

Kinugawa T, Fujimoto Y, Miyakoda H, Ogino K, Shigemasa C, Hasegawa J, Kotake H, Mashiba H

机构信息

First Department of Internal Medicine, Tottori University, Yonago, Japan.

出版信息

Jpn Circ J. 1989 Jul;53(7):807-12. doi: 10.1253/jcj.53.807.

DOI:10.1253/jcj.53.807
PMID:2810690
Abstract

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.

摘要

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。

相似文献

1
A case of paroxysmal ventricular tachycardia during pregnancy.一例妊娠期阵发性室性心动过速病例。
Jpn Circ J. 1989 Jul;53(7):807-12. doi: 10.1253/jcj.53.807.
2
Effect of pregnancy on paroxysmal supraventricular tachycardia.妊娠对阵发性室上性心动过速的影响。
Am J Cardiol. 1993 Oct 1;72(11):838-40. doi: 10.1016/0002-9149(93)91078-v.
3
[Supraventricular paroxysmal tachycardia caused by deglutition: a rare form of arrhythmia. Description of a case].[吞咽引起的室上性阵发性心动过速:一种罕见的心律失常形式。病例描述]
Minerva Cardioangiol. 1983 Apr;31(4):243-6.
4
A woman with thyrotoxicosis- and hyperemesis gravidarum-associated Wernicke's encephalopathy.一名患有甲状腺毒症和妊娠剧吐相关韦尼克脑病的女性。
Neuro Endocrinol Lett. 2012;33(3):285-9.
5
[Reciprocal supraventricular paroxysmal tachycardia in pregnancy. Apropos of a case].
Minerva Ginecol. 1996 Jul-Aug;48(7-8):327-30.
6
Recurrent gestational transient thyrotoxicosis presenting as hyperemesis.表现为妊娠剧吐的复发性妊娠期一过性甲状腺毒症
J Med Assoc Thai. 2012 Dec;95 Suppl 12:S125-8.
7
Ventricular tachycardia in a primigravida with Hyperemesis Gravidarum.一名患有妊娠剧吐的初产妇出现室性心动过速。
J Obstet Gynaecol Res. 2018 Jul;44(7):1308-1312. doi: 10.1111/jog.13651. Epub 2018 Apr 24.
8
[Painless delivery under lumbar epidural anesthesia for a pregnant woman with syncope caused by paroxysmal ventricular tachycardia].
Masui. 1989 Apr;38(4):560-2.
9
Dilated cardiomyopathy in thyrotoxicosis and Moyamoya disease.甲状腺毒症和烟雾病中的扩张型心肌病。
Int J Cardiol. 2001 Aug;80(1):101-3. doi: 10.1016/s0167-5273(01)00475-2.
10
Heart failure caused by thyrotoxicosis in pregnancy--case report.
Clin Exp Obstet Gynecol. 2007;34(2):117-9.

引用本文的文献

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Anesthetic management for cesarean section in a patient with paroxysmal ventricular tachycardia: A case report.阵发性室性心动过速患者剖宫产的麻醉管理:一例报告
J Anesth. 1995 Mar;9(1):96-8. doi: 10.1007/BF02482049.