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阵发性心房颤动导管消融术后与QT间期延长相关的尖端扭转型室性心动过速。

Torsades de Pointes associated with QT prolongation after catheter ablation of paroxysmal atrial fibrillation.

作者信息

Park Yae Min, Cha Mi Suk, Kang Woong Chol, Shin Mi-Seung, Kim Young-Hoon, Choi In Suck, Shin Eak Kyun

机构信息

Cardiology Division, Gachon University Gil Medical Center, Incheon, Republic of Korea.

Cardiology Division, Gachon University Gil Medical Center, Incheon, Republic of Korea.

出版信息

Indian Pacing Electrophysiol J. 2017 Sep-Oct;17(5):146-149. doi: 10.1016/j.ipej.2017.07.008. Epub 2017 Jul 13.

DOI:10.1016/j.ipej.2017.07.008
PMID:29192591
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5652273/
Abstract

A 79-year-old woman who underwent catheter ablation for paroxysmal atrial fibrillation presented with Torsades de Pointes (TdP). Aggravation of prolonged QT interval which is most likely due to neural modulation by catheter ablation, played major role in the initiation of TdP. The patient was successfully treated with isoproterenol during acute stage and discharged after stabilization without implantation of permanent pacemaker or implantable cardioverter defibrillator.

摘要

一名79岁接受阵发性心房颤动导管消融术的女性出现尖端扭转型室速（TdP）。QT间期延长加重，极有可能是由导管消融的神经调节作用所致，这在TdP的发作中起主要作用。急性期患者使用异丙肾上腺素成功治疗，病情稳定后出院，未植入永久性起搏器或植入式心脏复律除颤器。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdd4/5652273/018d00f25638/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdd4/5652273/68078106342b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdd4/5652273/9f762584058c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdd4/5652273/018d00f25638/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdd4/5652273/68078106342b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdd4/5652273/9f762584058c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdd4/5652273/018d00f25638/gr3.jpg

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