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以危及生命的尖端扭转型室速伴QTc间期延长为表现的低钙血症

Hypocalcemia Presenting as Life Threatening Torsades de Pointes with Prolongation of QTc Interval.

作者信息

Chhabra Shibba Takkar, Mehta Shivani, Chhabra Sandeep, Singla Manikant, Aslam Naved, Mohan Bishav, Wander Gurpreet Singh

机构信息

1Present Address: Department of Cardiology, Dayanand Medical College and Hospital, Civil Lines, Tagore Nagar, Ludhiana, 141001 India.

2Dayanand Medical College and Hospital, Ludhiana, India.

出版信息

Indian J Clin Biochem. 2018 Apr;33(2):235-238. doi: 10.1007/s12291-017-0684-z. Epub 2017 Aug 1.

DOI:10.1007/s12291-017-0684-z
PMID:29651218
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5891463/
Abstract

Torsades de pointes with prolonged QTc interval is a form of ventricular tachycardia. Many predisposing factors have been identified and hypocalcemia is among the rare ones. Our case illustrates that though rare, hypocalcemia might manifest as torsades de pointes with prolongation of QTc interval. Early diagnosis and management of dyselectrolytemia can prevent these patients from catastrophic torsades de pointes.

摘要

伴有QTc间期延长的尖端扭转型室速是室性心动过速的一种形式。已经确定了许多诱发因素，低钙血症是其中罕见的因素之一。我们的病例表明，尽管罕见，但低钙血症可能表现为伴有QTc间期延长的尖端扭转型室速。及时诊断和处理电解质紊乱可防止这些患者发生灾难性的尖端扭转型室速。

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Diagnosis and management of hypocalcaemia.低钙血症的诊断与管理
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