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一名无结构性心脏病患者在阵发性室上性心动过速期间出现充血性心力衰竭急性进展。

Acute progression of congestive heart failure during paroxysmal supraventricular tachycardia in a patient without structural heart disease.

作者信息

Matsuo Seiichiro, Yamane Teiichi, Hioki Mika, Narui Ryohsuke, Ito Keiichi, Tokuda Michifumi, Yamashita Seigo, Yoshida Hiroshi, Date Taro, Sugimoto Ken-Ichi, Yoshimura Michihiro

机构信息

Department of Cardiology, Jikei University School of Medicine, 3-25-8 Nishi-shinbashi, Minato-ku, Tokyo 105-8461, Japan.

出版信息

J Cardiol Cases. 2009 Dec 16;1(3):e133-e136. doi: 10.1016/j.jccase.2009.11.001. eCollection 2010 Jun.

DOI:10.1016/j.jccase.2009.11.001
PMID:30615752
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6264940/
Abstract

This report presents the case of a 48-year-old male with acute congestive heart failure caused by paroxysmal supraventricular tachycardia. The patient showed no structural heart disease with normal echocardiography parameters of the left ventricle. The pulmonary capillary wedge pressure (PCWP) was continuously monitored during the electrophysiological study. The PCWP and the plasma B-type natriuretic peptide increased from the normal range during ongoing tachycardia. The tachycardia was diagnosed as orthodromic atrioventricular reciprocating tachycardia and it was successfully eliminated by radiofrequency catheter ablation.

摘要

本报告介绍了一名48岁男性因阵发性室上性心动过速导致急性充血性心力衰竭的病例。患者无结构性心脏病，左心室超声心动图参数正常。在电生理研究期间持续监测肺毛细血管楔压（PCWP）。在持续性心动过速期间，PCWP和血浆B型利钠肽从正常范围升高。心动过速被诊断为顺向性房室折返性心动过速，并通过射频导管消融成功消除。

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本文引用的文献

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J Cardiol. 2009 Aug;54(1):134-8. doi: 10.1016/j.jjcc.2008.10.002. Epub 2008 Nov 21.
2
Significance and utility of plasma brain natriuretic peptide concentrations in patients with idiopathic ventricular arrhythmias.特发性室性心律失常患者血浆脑钠肽浓度的意义及应用价值
Pacing Clin Electrophysiol. 2006 Dec;29(12):1395-403. doi: 10.1111/j.1540-8159.2006.00553.x.
3
Tachycardia-induced cardiomyopathy: a review of animal models and clinical studies.心动过速性心肌病：动物模型与临床研究综述
J Am Coll Cardiol. 1997 Mar 15;29(4):709-15. doi: 10.1016/s0735-1097(96)00592-x.
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Experimental congestive heart failure produced by rapid ventricular pacing in the dog: cardiac effects.犬快速心室起搏诱发的实验性充血性心力衰竭：心脏效应
Circulation. 1987 Apr;75(4):857-67. doi: 10.1161/01.cir.75.4.857.
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Reversibility of tachycardia-induced cardiomyopathy after cure of incessant supraventricular tachycardia.持续性室上性心动过速治愈后心动过速性心肌病的可逆性
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