Domm Jakob M, Weerdenburg Kirstin, Kinden Renée, Emsley Jason G
Emergency Medicine, Dalhousie University, Halifax, CAN.
Emergency Medicine, IWK Health, Halifax, CAN.
Cureus. 2022 Jan 28;14(1):e21683. doi: 10.7759/cureus.21683. eCollection 2022 Jan.
Wide-complex, monomorphic tachycardias represent a range of tachyarrhythmias. Such patients can present asymptomatically and hemodynamically stable, while others are in shock. The etiology of the rhythm can be difficult to determine in the emergency department, and although electrocardiogram findings may be helpful, a workup after stabilization may be necessary to determine the cause. Treatment is therefore dependent on hemodynamic status and follows a stepwise approach, as initial therapies may be ineffective. We present the case of a three-year-old girl with wide-complex tachycardia which was exceedingly refractory to preliminary treatments and required trials of multiple treatment approaches to achieve conversion to normal sinus rhythm.
宽QRS波单形性心动过速代表一系列快速性心律失常。这类患者可能无症状且血流动力学稳定，而其他患者则处于休克状态。在急诊科，这种心律失常的病因可能难以确定，虽然心电图检查结果可能有所帮助，但可能需要在病情稳定后进行进一步检查以确定病因。因此，治疗取决于血流动力学状态，并采用逐步治疗方法，因为初始治疗可能无效。我们报告一例三岁女童宽QRS波心动过速的病例，该病例对初步治疗极难奏效，需要尝试多种治疗方法才能转为正常窦性心律。
