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急性冠状动脉综合征背景下致心律失常性右心室心肌病所致室性心动过速

Ventricular Tachycardia Due to Arrhythmogenic Right Ventricular Cardiomyopathy in the Setting of Acute Coronary Syndrome.

作者信息

Dixit Priyadarshini, Adams Alex, Oquendo Gabriel Velez, Ahn Joon

机构信息

Cardiovascular Medicine, Northeast Georgia Medical Center, Gainesville, Georgia, USA.

Internal Medicine, Northeast Georgia Medical Center, Gainesville, Georgia, USA.

出版信息

JACC Case Rep. 2023 Nov 2;28:102092. doi: 10.1016/j.jaccas.2023.102092. eCollection 2023 Dec 20.

DOI:10.1016/j.jaccas.2023.102092
PMID:38204539
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10774743/
Abstract

A 55-year-old man presented with sustained monomorphic ventricular tachycardia with a left bundle QRS complex pattern in the setting of non-ST-segment elevation myocardial infarction. The electrocardiographic morphology of the ventricular tachycardia and echocardiographic findings of significant right ventricular dysfunction led to the diagnosis of arrhythmogenic right ventricular cardiomyopathy.

摘要

一名55岁男性在非ST段抬高型心肌梗死背景下出现持续性单形性室性心动过速，QRS波群呈左束支图形。室性心动过速的心电图形态及显著右心室功能障碍的超声心动图表现提示致心律失常性右心室心肌病的诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98e0/10774743/59244f03ffd4/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98e0/10774743/c5f63f95917a/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98e0/10774743/5887dae6d8ee/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98e0/10774743/fda279f7602b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98e0/10774743/59244f03ffd4/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98e0/10774743/c5f63f95917a/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98e0/10774743/5887dae6d8ee/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98e0/10774743/fda279f7602b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98e0/10774743/59244f03ffd4/gr3.jpg

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本文引用的文献

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A new prediction model for ventricular arrhythmias in arrhythmogenic right ventricular cardiomyopathy.致心律失常性右室心肌病室性心律失常的新预测模型。
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Sustained Monomorphic Ventricular Tachycardia in Nonischemic Heart Disease: Arrhythmia-Substrate Correlations That Inform the Approach to Ablation.非缺血性心脏病中的持续性单形性室性心动过速：心律失常-底物相关性，为消融治疗提供指导。
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临床实践中的致心律失常性右室心肌病/发育异常（ARVC/D）
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Heart. 2000 May;83(5):588-95. doi: 10.1136/heart.83.5.588.