一名起源于左心室尖部的室性早搏患者出现意识模糊。
Confusion in a patient with premature ventricular complexes originating in the left ventricular summit.
作者信息
Luani Blerim, Schmeisser Alexander, Wiemer Marcus, Braun-Dullaeus Rüdiger C
机构信息
Department of Cardiology, Johannes Wesling University Hospital, Ruhr-University Bochum, Hans Nolte Str. 1, Minden 32429, Germany.
Division of Cardiology and Angiology, Otto-von-Guericke University Magdeburg, Leipziger Str. 44, 39120 Magdeburg, Germany.
出版信息
Eur Heart J Case Rep. 2023 Mar 28;7(4):ytad142. doi: 10.1093/ehjcr/ytad142. eCollection 2023 Apr.
BACKGROUND
Premature ventricular complexes (PVCs) originating in the ventricular outflow tracts are mostly of benign character.
CASE SUMMARY
We describe a rare case of pulmonary hypertension with severe hypoxaemia and confusion caused by a significant mitral regurgitation (MR) during PVC originating in the left ventricle summit. After successful PVC ablation, all above-mentioned clinical parameters had normalized.
DISCUSSION
Premature ventricular complexes originating in the outflow tracts should be considered as a potential though rare cause of severe MR and pulmonary hypertension.
背景
起源于心室流出道的室性早搏大多为良性。
病例摘要
我们描述了一例罕见病例，一名患者在起源于左心室顶部的室性早搏期间因严重二尖瓣反流（MR）导致肺动脉高压、严重低氧血症和意识模糊。室性早搏成功消融后，上述所有临床参数均恢复正常。
讨论
起源于流出道的室性早搏应被视为严重二尖瓣反流和肺动脉高压的一种潜在病因，尽管较为罕见。
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