Department of Emergency Medicine, Ghent University Hospital, Ghent, Belgium.
Department of Emergency Medicine, AZ Maria Middelares, Ghent, Belgium.
Acta Clin Belg. 2021 Oct;76(5):406-409. doi: 10.1080/17843286.2020.1746885. Epub 2020 Apr 3.
Cardiac arrest in Wolff-Parkinson-White (WPW) is a rare event, and although some patients appear to be at greater risk, there is no consensus on clear risk factors. We present a case of a 23-year-old male patient, with a known history of WPW pattern, who suffered an out of hospital ventricular fibrillation after the consumption of rather small dose of (meth)amphetamines. The use of illegal drug can predispose WPW patients to fatal arrhythmia and cardiac arrest. Patients with WPW pattern should be well informed about the risks of (meth)amphetamines and some might be considered for medical therapy or catheter ablation.
预激综合征（WPW）患者发生心搏骤停较为罕见，虽然部分患者的风险似乎更高，但目前尚无明确的危险因素共识。我们报告了 1 例 23 岁男性患者，已知 WPW 图形，在摄入相当小剂量（苯丙胺类兴奋剂）后发生院外室颤。非法药物的使用可能使 WPW 患者易发生致命性心律失常和心搏骤停。WPW 图形的患者应充分了解（苯丙胺类兴奋剂）的风险，某些患者可能需要考虑药物治疗或导管消融。
