Salehi Forod, Riasi Hamidreza, Riasi Hamideh, Mirshahi Arvin
Cardiovascular Diseases Research Center, Department of Pediatrics, Vali-e-Asr Hospital, Birjand University of Medical Sciences, Birjand, Iran.
Department of Neurology, Vali-e-Asr Hospital, Birjand University of Medical Sciences, Birjand, Iran.
Emerg (Tehran). 2018;6(1):e49. Epub 2018 Aug 8.
Torsades de pointes (TdP) is a rare but hazardous ventricular dysrhythmia caused by an increase in the QT interval of the heart rhythm and is categorized into congenital or acquired types. Signs and symptoms of TdP include syncope, seizure, ventricular fibrillation, and even sudden death. According to statistics, among these symptoms, syncope and the seizure can be considered as signs that make the TdP diagnosis difficult. Here, we present an infant referring to Vali-e-Asr Hospital in Birjand with frequent seizures and aspiration pneumonia. She was diagnosed with Torsades de Pointes and a medium-sized patent ductus arteriosus, and subsequently underwent a patent ductus arteriosus ligation.
尖端扭转型室性心动过速（TdP）是一种罕见但危险的室性心律失常，由心律的QT间期延长引起，分为先天性或后天性类型。TdP的体征和症状包括晕厥、癫痫发作、心室颤动，甚至猝死。据统计，在这些症状中，晕厥和癫痫发作可被视为使TdP诊断困难的体征。在此，我们介绍一名转诊至比尔詹德瓦利 - 阿斯尔医院的婴儿，该婴儿频繁癫痫发作并患有吸入性肺炎。她被诊断为尖端扭转型室性心动过速和中度动脉导管未闭，随后接受了动脉导管未闭结扎术。
