患有短联律间期尖端扭转型室速的婴儿发生电风暴。
Electrical storm in an infant with short-coupled variant of torsade de pointes.
作者信息
Kise Hiroaki, Ohno Seiko, Kono Yosuke, Yoshizawa Masashi, Harama Daisuke, Okafuji Asami, Toda Takako, Koizumi Keiichi, Hoshiai Minako, Sugita Kanji, Horie Minoru
机构信息
Department of Pediatrics University of Yamanashi Hospital Chuo-city Yamanashi Japan.
Department of Cardiovascular and Respiratory Medicine Shiga University of Medical Science Otsu Shiga Japan.
出版信息
J Arrhythm. 2018 May 14;34(3):315-318. doi: 10.1002/joa3.12071. eCollection 2018 Jun.
A 10-month-old infant experienced cardiac arrest caused by ventricular fibrillation (VF). His electrocardiogram (ECG) at rest was within the normal range. Amiodarone was indispensable due to its refractoriness to defibrillation. After implantable cardioverter defibrillator (ICD) implantation, ICD shock was delivered. ICD recordings documented VF and ventricular tachycardia (VT) triggered by premature ventricular contractions with an extremely short coupling interval (240 ms), which were controlled by verapamil. To the best of our knowledge, our case is the first infant with ScTdP. As the electrical storm with ScTdP occurs unpredictably, it can be a cause of sudden infant death syndrome.
一名10个月大的婴儿因室颤（VF）发生心脏骤停。他静息时的心电图（ECG）在正常范围内。由于对除颤难治，胺碘酮必不可少。植入植入式心脏复律除颤器（ICD）后，进行了ICD电击。ICD记录显示室颤和室性心动过速（VT）由耦合间期极短（240毫秒）的室性早搏触发，这些由维拉帕米控制。据我们所知，我们的病例是首例患有短QT间期综合征（ScTdP）的婴儿。由于ScTdP引发的电风暴不可预测地发生，它可能是婴儿猝死综合征的一个原因。
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