Makrides Constantinos
Limassol Cardiology Centre.
J Atr Fibrillation. 2012 Jun 15;5(1):487. doi: 10.4022/jafib.487. eCollection 2012 Jun-Jul.
We report a case of vagally mediated atrial fibrillation on a young otherwise healthy man, with straight type ST-segment elevation in inferolateral leads that resolved a few hours after restoration of sinus rythm, a phenomenon that has never been previously reported. Even though no definite conclusion about the underlying mechanism of the ST-elevation can be made, this effect might probably be the result of intense parasympathetic tone and could be used to differentiate the causality.
我们报告了一例年轻健康男性的迷走神经介导的心房颤动,其下侧壁导联出现直线型ST段抬高,在恢复窦性心律后数小时内消退,这是一种此前从未报道过的现象。尽管关于ST段抬高的潜在机制无法得出明确结论,但这种效应可能是强烈副交感神经张力的结果,可用于鉴别因果关系。