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作者信息

Safi Sanam, Sheta Hussam Mahmoud, Jacobsen Peter Karl, Idorn Lars

机构信息

Børnekardiologisk Sektion, BørneUngeAfdelingen, Københavns Universitetshospital - Rigshospitalet.

Kardiologisk Afdeling, Odense Universitetshospital.

出版信息

Ugeskr Laeger. 2023 Feb 20;185(8).

PMID:36892318

Abstract

In this case report, a previously asymptomatic 11-year-old boy presented with sudden palpitations and syncope. He eventually went into cardiac arrest and was successfully resuscitated. The ECG showed pre-excited atrial fibrillation degenerating into pulseless ventricular tachycardia. The patient was found to have Wolff-Parkinson-White syndrome (WPW) with an accessory pathway between right atrium and ventricle which was successfully ablated. Sudden cardiac death (SCD) is rare in WPW, however, early diagnosis is essential for eliminating the risk of SCD.

摘要

在本病例报告中，一名此前无症状的11岁男孩出现突发心悸和晕厥。他最终发生心脏骤停并成功复苏。心电图显示预激性心房颤动恶化为无脉性室性心动过速。该患者被发现患有 Wolff-Parkinson-White 综合征（WPW），右心房和心室之间存在一条旁路，该旁路已成功消融。心脏性猝死（SCD）在WPW中较为罕见，然而，早期诊断对于消除SCD风险至关重要。