García Hernández N, Ortíz Basurto M V, Hurtado del Río D
Arch Inst Cardiol Mex. 1986 Jan-Feb;56(1):77-80.
Two patients who had sudden unexpected death while being monitored by a Holter electrocardiograph apparatus are reported. The first patient with heart disease of unknown etiology initially developed first degree A-V block, progressive left bundle branch block and finally asystole. The second patient with previous coronary artery disease and recent myocardial infarction revealed multifocal ventricular extrasystoles with frequent bigeminism and trigeminism which ended in ventricular tachycardia and fibrillation. Emphasis is made on the necessity of detecting those high risk patients and establishing preventive post-hospitalization care to modify the evolution and prognosis in this group of patients.
报告了两例在动态心电图监测期间发生意外猝死的患者。第一例病因不明的心脏病患者最初出现一度房室传导阻滞、进行性左束支传导阻滞，最终发展为心脏停搏。第二例有冠状动脉疾病史和近期心肌梗死的患者表现为多源性室性期前收缩，频繁出现二联律和三联律，最终发展为室性心动过速和心室颤动。强调了检测这些高危患者并建立出院后预防性护理以改善该组患者病情发展和预后的必要性。
