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伊伐布雷定用于治疗先天性交界性异位性心动过速

[Use of ivabradine for the treatment of congenital junctional ectopic tachycardia].

作者信息

Ríos Mateo, Chiesa Pedro, Arhcilles Stella, Cuesta Alejandro, Moltedo José Manuel

机构信息

Servicio de Cardiología Pediátrica, Hospital Pereira Rossell, Montevideo, Uruguay.

Servicio de Cardiología Pediátrica, Hospital SAMIC Eldorado, Misiones, Argentina.

出版信息

Medicina (B Aires). 2021;81(2):293-296.

Abstract

The congenial form of junctional ectopic tachycardia is a rare variant of pediatric tachyarrhythmia that due to its incessant nature and its refractoriness to the traditionally used antiarrhythmic agents has a high morbimortality The clinical cases of two patients with a diagnosis of congenital junctional ectopic tachycardia with inadequate response to the regular pharmacological options, who developed dilated cardiomyopathy and ventricular dysfunction secondary to sustained tachycardia, are presented. In both ivrabadine, a new innovative option was used with excellent clinical response.

摘要

交界性异位性心动过速的良性形式是小儿快速心律失常的一种罕见变体,由于其持续性及对传统使用的抗心律失常药物的难治性,其病死率很高。本文介绍了两例诊断为先天性交界性异位性心动过速的临床病例,常规药物治疗效果不佳,患者因持续性心动过速继发扩张型心肌病和心室功能障碍。在这两例病例中,使用了一种新的创新药物伊伐布雷定,临床反应良好。

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