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胃心综合征的罕见和不常见表现。

Rare and unusual presentation of gastrocardiac syndrome.

机构信息

Internal Medicine, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA

Internal Medicine, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA.

出版信息

BMJ Case Rep. 2020 Dec 17;13(12):e236910. doi: 10.1136/bcr-2020-236910.

DOI:10.1136/bcr-2020-236910
PMID:33334749
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7747581/
Abstract

Gastrointestinal pathology can cause cardiac symptoms and disorders. We present a case of a patient who had worsening of her palpitations with food intake. She was found to have a high burden of premature ventricular contractions in the setting of hiatal hernia and gastro-oesophageal reflux disease. After extensive investigations and ruling out cardiac causes, her arrhythmia resolved with the surgical correction of hiatal hernia.

摘要

胃肠道病理学可引起心脏症状和紊乱。我们报告了一例患者，其在进食后心悸加重。在食管裂孔疝和胃食管反流病的背景下，发现她有大量的室性期前收缩。在广泛的检查并排除心脏原因后，通过手术纠正食管裂孔疝，她的心律失常得到了缓解。

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本文引用的文献

1
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Hellenic J Cardiol. 2019 Mar-Apr;60(2):82-100. doi: 10.1016/j.hjc.2018.09.002. Epub 2018 Sep 29.
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Posterior cardiac compression from a large hiatal hernia-A novel cause of ventricular tachycardia.巨大食管裂孔疝导致的心脏后位压迫——室性心动过速的一种新病因。
HeartRhythm Case Rep. 2018 May 23;4(8):362-366. doi: 10.1016/j.hrcr.2018.05.003. eCollection 2018 Aug.
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Hiatal Hernia Is Associated With an Increased Prevalence of Atrial Fibrillation in Young Patients.食管裂孔疝与年轻患者心房颤动患病率增加有关。
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Atrial fibrillation in patients with gastroesophageal reflux disease: a comprehensive review.胃食管反流病患者的心房颤动：一项综述
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Arrhythmia and thyroid dysfunction.心律失常与甲状腺功能障碍。
Herz. 2015 Apr;40 Suppl 2:101-9. doi: 10.1007/s00059-014-4123-0. Epub 2014 Jul 4.
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Left atrial compression and the mechanism of exercise impairment in patients with a large hiatal hernia.巨大食管裂孔疝患者左心房受压与运动障碍的机制。
J Am Coll Cardiol. 2011 Oct 4;58(15):1624-34. doi: 10.1016/j.jacc.2011.07.013.
8
Is there a link between gastroesophageal reflux disease and atrial fibrillation?胃食管反流病与心房颤动之间是否存在关联？
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