严重高钙血症致 J 波综合征并心室颤动风暴 1 例及异丙肾上腺素输注成功治疗

A Case of J Wave Syndrome Due to Severe Hypercalcemia with Ventricular Fibrillation Storm and Successful Treatment of Isoproterenol Infusion.

机构信息

Department of Cardiology, Juntendo University Nerima Hospital.

Department of Cardiovascular Biology and Medicine, Juntendo University Graduate School of Medicine.

出版信息

Int Heart J. 2021;62(4):924-926. doi: 10.1536/ihj.20-798.

DOI:10.1536/ihj.20-798

PMID:34334584

Abstract

A case of J wave syndrome with ventricular fibrillation (VF) storm and severe hypercalcemia due to primary hyperparathyroidism is presented. VF storm subsided with an isoproterenol infusion. Prominent J waves and a Brugada-like electrocardiogram pattern disappeared after parathyroidectomy. Ventricular tachyarrhythmia was not induced during an electrophysiological study. The patient remained asymptomatic up to the 12-month follow-up.

摘要

本文报告了一例原发性甲状旁腺功能亢进导致 J 波综合征伴心室颤动（VF）风暴和严重高钙血症的病例。使用异丙肾上腺素输注后 VF 风暴得到缓解。甲状旁腺切除术后，明显的 J 波和 Brugada 样心电图模式消失。电生理研究期间未诱发室性心动过速。患者在 12 个月的随访中一直无症状。