Skadberg B T, Bruserud O, Karwinski W, Ohm O J
Medical Department, University School of Medicine, Bergen, Norway.
Acta Med Scand. 1988;223(4):379-83. doi: 10.1111/j.0954-6820.1988.tb15888.x.
A patient with multiple myeloma and amyloidosis was admitted to hospital following successful cardiopulmonary resuscitation at home. No disturbances in heart rhythm were seen during the first 48 hours of continuous telemetric ECG recording. The patient died from ventricular asystole due to complete atrioventricular block, while he was on a 24-hour Holter monitoring the fifth night in hospital. Patients with known cardiac amyloidosis and syncope should undergo long-term ECG recordings, preferably by telemetry. Repeated registrations may be necessary to discover disturbances in heart rhythm.
一名患有多发性骨髓瘤和淀粉样变性的患者在家中成功进行心肺复苏后入院。在连续遥测心电图记录的头48小时内未发现心律紊乱。患者在住院的第五晚进行24小时动态心电图监测时，死于完全性房室传导阻滞导致的心室停搏。已知患有心脏淀粉样变性和晕厥的患者应进行长期心电图记录，最好采用遥测技术。可能需要反复记录以发现心律紊乱。
