Istanbul University - Cerrahpasa, Cerrahpasa Medical School, Istanbul, Turkey.
Department of Cardiology, School of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey.
J Electrocardiol. 2021 Mar-Apr;65:110-112. doi: 10.1016/j.jelectrocard.2021.01.011. Epub 2021 Jan 26.
Macroscopic T-wave alternans (TWA) is the beat-to-beat variation in the amplitude or shape of the T wave on a surface electrocardiogram (ECG) and known to be a harbinger of impending malignant ventricular arrhythmias such as polymorphic ventricular tachycardia. We herein report a case with hepatic encephalopathy, who developed TWA, followed by polymorphic ventricular tachycardia.
宏观 T 波电交替(TWA)是体表心电图(ECG)上 T 波幅度或形态的逐搏变化,已知是恶性室性心律失常(如多形性室性心动过速)即将发生的先兆。本文报告了一例肝性脑病患者,该患者出现 TWA 后,继而发生多形性室性心动过速。