右心室心内膜标测与心脏淀粉样变中的潜在致心律失常基质-ICD 的作用。
Right Ventricular Endocardial Mapping and a Potential Arrhythmogenic Substrate in Cardiac Amyloidosis-Role of ICD.
机构信息
Department of Cardiology and Electrotherapy, Medical University of Gdansk, 80-952 Gdansk, Poland.
Department of Nonivasive Cardiac Diagnostics, Medical University of Gdansk, 80-952 Gdansk, Poland.
出版信息
Int J Environ Res Public Health. 2021 Nov 5;18(21):11631. doi: 10.3390/ijerph182111631.
Patients with cardiac amyloidosis (CA) have an increased risk of sudden cardiac death. (SCD). However, the role of an implantable cardioverter-defibrillator in the primary prevention of SCD in this group of patients is still controversial. We present a case with CA with recurrent syncope and non-sustained ventricular tachycardia. In order to further stratify the risk of SCD, an electrophysiological study with endocardial electroanatomic voltage mapping was performed prior to the ICD placement.
患有心脏淀粉样变性（CA）的患者发生心源性猝死（SCD）的风险增加。然而，在这组患者中，植入式心脏复律除颤器（ICD）在预防 SCD 中的作用仍存在争议。我们报告了 1 例 CA 伴反复晕厥和非持续性室性心动过速患者。为了进一步分层 SCD 风险，在植入 ICD 之前进行了心内膜电生理研究和心内膜电解剖电压标测。
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