Pearl W
Division of Pediatric Cardiology, William Beaumont Army Medical Center, El Paso, Texas 79920.
Pediatr Cardiol. 1988;9(2):125-6. doi: 10.1007/BF02083712.
Stokes-Adams attacks are a well-known complication of congenital complete heart block. Although they are generally felt to be precipitated by either bradycardia or tachycardia, this is poorly documented. A case is presented in which a 23 month old with congenital complete heart block and an intermittently prolonged QT interval had a Stokes-Adams attack during a spontaneous episode of ventricular tachycardia. The combination of congenital complete heart block and a prolonged QT interval carries a significant risk of ventricular tachycardia.
斯托克斯－亚当斯发作是先天性完全性心脏传导阻滞的一种众所周知的并发症。尽管一般认为其由心动过缓或心动过速诱发，但这方面的文献记载很少。本文报告了一例病例，一名23个月大的先天性完全性心脏传导阻滞患儿，其QT间期间歇性延长，在一次自发性室性心动过速发作期间发生了斯托克斯－亚当斯发作。先天性完全性心脏传导阻滞与QT间期延长并存会带来显著的室性心动过速风险。
