复苏后心电图的“非显著性”早期复极模式预示着即将发生电风暴。
"Nonsignificant" early repolarization pattern on postresuscitation ECG as a harbinger of impending electrical storm.
机构信息
Division of Cardiovascular Medicine, Gifu University Hospital, Gifu, Japan.
Division of Cardiovascular Medicine, Gifu Municipal Hospital, Gifu, Japan.
出版信息
Ann Noninvasive Electrocardiol. 2020 May;25(3):e12686. doi: 10.1111/anec.12686. Epub 2019 Sep 9.
Abstract
We report a 55-year-old man who was resuscitated from out-of-hospital cardiac arrest and subsequently developed three episodes of ventricular fibrillation (VF) on the same day. Early repolarization (ER) pattern was not significant (<0.1 mV) on postresuscitation ECG. However, ER pattern became evident (0.25 mV) before the onset of VF and then completely disappeared. The unusual dynamics of ER pattern observed in the present case could be called "masked" ER syndrome.
摘要
我们报告了一例 55 岁男性，该患者在院外心脏骤停后复苏，并在同一天内发生了三次心室颤动（VF）。复苏后心电图上早期复极（ER）模式不明显（<0.1 mV）。然而，在 VF 发作前 ER 模式变得明显（0.25 mV），然后完全消失。在本病例中观察到的 ER 模式的异常动态可称为“伪装”ER 综合征。
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本文引用的文献
1
HRS/EHRA/APHRS expert consensus statement on the diagnosis and management of patients with inherited primary arrhythmia syndromes: document endorsed by HRS, EHRA, and APHRS in May 2013 and by ACCF, AHA, PACES, and AEPC in June 2013.遗传性原发性心律失常综合征患者诊断与管理的HRS/EHRA/APHRS专家共识声明：2013年5月由HRS、EHRA和APHRS认可，2013年6月由ACCF、AHA、PACES和AEPC认可。
Heart Rhythm. 2013 Dec;10(12):1932-63. doi: 10.1016/j.hrthm.2013.05.014. Epub 2013 Aug 30.
2
Recurrent ventricular fibrillation related to hypokalemia in early repolarization syndrome.
Pacing Clin Electrophysiol. 2012 Aug;35(8):e234-8. doi: 10.1111/j.1540-8159.2012.03460.x. Epub 2012 Jun 26.
3
Mode of onset of ventricular fibrillation in patients with early repolarization pattern vs. Brugada syndrome.早期复极综合征与 Brugada 综合征患者心室颤动的发作方式。
Eur Heart J. 2010 Feb;31(3):330-9. doi: 10.1093/eurheartj/ehp423. Epub 2009 Oct 29.
4
Ischemic J wave: novel risk marker for ventricular fibrillation?缺血性 J 波：心室颤动的新型风险标志物？
Heart Rhythm. 2009 Jun;6(6):829-35. doi: 10.1016/j.hrthm.2009.02.036. Epub 2009 Feb 25.
5
Sudden cardiac arrest associated with early repolarization.与早期复极相关的心脏骤停
N Engl J Med. 2008 May 8;358(19):2016-23. doi: 10.1056/NEJMoa071968.
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