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青年卒中:致心律失常性右室心肌病的一种不常见表现。

Young Stroke: An Unusual Presentation of Arrhythmogenic Right Ventricular Dysplasia.

机构信息

Department of Cardiology, Amrita Institute of Medical Sciences, Kochi, Kerala, India.

出版信息

Neurol India. 2019 Nov-Dec;67(6):1528-1531. doi: 10.4103/0028-3886.273639.

Abstract

Arrhythmogenic right ventricular dysplasia (ARVD) is an underdiagnosed cardiomyopathy which commonly presents in young adults with ventricular tachycardia or sudden cardiac death. We report a case of ARVD presenting with features of acute ischemic cerebrovascular stroke. The suspicion of ARVD came only when the echocardiogram revealed dilatation and abnormal wall motion of the right ventricle in the presence of certain ECG findings consistent with ARVD. The diagnosis was later confirmed by cardiac MRI which is one of the most specific diagnostic tests for ARVD.

摘要

致心律失常性右室心肌病(ARVD)是一种诊断不足的心肌病,常见于有室性心动过速或心源性猝死风险的年轻成年人。我们报告了一例以急性缺血性脑血管病为表现的 ARVD 病例。只有当超声心动图显示存在符合 ARVD 的特定心电图发现的情况下,右心室扩张和异常壁运动时,才怀疑 ARVD。心脏 MRI 是 ARVD 最特异的诊断性检查之一,这一诊断后来得到了证实。

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