Siostrzonek P, Gössinger H, Schmoliner R, Kronik G, Mösslacher H
Dtsch Med Wochenschr. 1987 Sep 4;112(36):1374-6. doi: 10.1055/s-2008-1068254.
Sudden cardiac death was documented on a Holter-monitor ECG in a 71-year-old man with known, but unoperated, calcific aortic stenosis (peak transvalvar gradient of 90 mm Hg). The tracing showed the development of a, presumably stress-induced, sinus tachycardia with broad QRSs and rapid transition to ventricular fibrillation. This rarely documented example of cardiac death in a patient with aortic stenosis during long-term ECG monitoring is of special interest because the patient had neither an inverse therapy effect nor impaired left-ventricular function.
一名71岁男性，已知患有钙化性主动脉瓣狭窄（峰值跨瓣压差为90 mmHg）但未接受手术治疗，其动态心电图监测记录到心脏性猝死。心电图显示出现了可能由应激诱发的窦性心动过速，QRS波增宽，并迅速转变为心室颤动。在长期心电图监测过程中，该主动脉瓣狭窄患者发生心脏性猝死的情况鲜有记录，这一病例特别引人关注，因为该患者既没有出现逆向治疗效果，左心室功能也未受损。
