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特布他林诱发的新生儿室性心动过速:一例病例报告及文献综述

Terbutaline-induced neonatal ventricular tachycardia: A case report and review of literature.

作者信息

Nehls Phillip Edwin, Bhat Ramachandra, Batten Lynn A

机构信息

Department of Pediatrics, University of South Alabama, Mobile, Alabama, USA.

Department of Pediatrics, Division of Neonatology, University of South Alabama, Mobile, Alabama, USA.

出版信息

Ann Pediatr Cardiol. 2020 Apr-Jun;13(2):147-149. doi: 10.4103/apc.APC_102_19. Epub 2020 Apr 10.

Abstract

Neonatal ventricular tachycardia (VT) is an extremely rare condition. We present a 35-week-old gestation neonate who developed tachycardia following maternal exposure to terbutaline. Upon transfer to our neonatal intensive care unit, an electrocardiogram (ECG) was obtained which was consistent with VT. The arrhythmia did not respond to vagal maneuvers or adenosine but resolved following cardioversion demonstrated on postcoversion ECG. At outpatient follow-up, the infant had no further episodes of arrhythmia. To the best of our knowledge, this represents the first case describing terbutaline-induced fetal or neonatal VT.

摘要

新生儿室性心动过速(VT)是一种极为罕见的病症。我们报告一例孕35周的新生儿,其母亲在使用特布他林后该新生儿出现心动过速。转入我们的新生儿重症监护病房后,进行了心电图(ECG)检查,结果符合室性心动过速。该心律失常对迷走神经刺激或腺苷无反应,但在心脏复律后恢复正常,复律后的心电图显示了这一点。在门诊随访中,该婴儿未再出现心律失常发作。据我们所知,这是描述特布他林诱发胎儿或新生儿室性心动过速的首例病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/042b/7331846/518bde07beea/APC-13-147-g001.jpg

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