心脏骤停后使用异丙肾上腺素对附加通路进行风险分层
Risk Stratification of an Accessory Pathway Using Isoproterenol after Cardiac Arrest.
作者信息
Burstein Barry, Barbosa Rodrigo, Larochelle Maude Peretz-, Samuel Michelle, Essebag Vidal, Bernier Martin L
机构信息
McGill University, Montreal, Quebec, Canada.
Hospital Albert Sabin, Juiz de Fora, MG, Brazil.
出版信息
J Atr Fibrillation. 2018 Jun 30;11(1):2054. doi: 10.4022/jafib.2054. eCollection 2018 Jun-Jul.
A 43-year-old man presented after ventricular fibrillation cardiac arrest with evidence of pre-excited atrial fibrillation. Electrophysiology study with guideline-directed testing demonstrated a low risk accessory pathway effective refractory period, which became high-risk with isoproterenol infusion. This case represents a challenging scenario wherein a high-risk pathway may be misclassified using the currently indicated methods of risk stratification.
一名43岁男性在心室颤动心脏骤停后就诊，有预激性心房颤动的证据。通过指南指导的检测进行的电生理研究显示，旁路有效不应期风险较低，但在输注异丙肾上腺素后变为高风险。该病例代表了一种具有挑战性的情况，即使用当前指定的风险分层方法可能会对高风险旁路进行错误分类。
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