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迷走神经介导的心房颤动中的短暂性ST段抬高

Transient ST Elevation in Vagally Mediated Atrial Fibrillation.

作者信息

Makrides Constantinos

机构信息

Limassol Cardiology Centre.

出版信息

J Atr Fibrillation. 2012 Jun 15;5(1):487. doi: 10.4022/jafib.487. eCollection 2012 Jun-Jul.

Abstract

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.

摘要

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。

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