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双重快速心律失常：肥厚型心肌病患者房性快速心律失常诱发心室颤动。

Dual tachyarrhythmia: Ventricular fibrillation induced by atrial tachyarrhythmia in a patient with hypertrophic cardiomyopathy.

作者信息

Kinjo Takahiko, Sasaki Shingo, Horiuchi Daisuke, Ishida Yuji, Tomita Hirofumi

机构信息

Department of Cardiology and Nephrology Hirosaki University Graduate School of Medicine Hirosaki Japan.

Department of Advanced Management of Cardiac Arrhythmias Hirosaki University Graduate School of Medicine Hirosaki Japan.

出版信息

J Arrhythm. 2023 Dec 22;40(1):180-183. doi: 10.1002/joa3.12980. eCollection 2024 Feb.

DOI:10.1002/joa3.12980
PMID:38333380
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10848627/
Abstract

A patient with hypertrophic cardiomyopathy experienced cardiopulmonary arrest. An automated external defibrillator administered defibrillation for ventricular fibrillation (A). The pacemaker recorded atrial tachycardia with a rapid ventricular response before the patient collapsed (B). After a few minutes, the pacemaker records dual tachyarrhythmia, characterized by the simultaneous presence of ventricular fibrillation (VF) and atrial fibrillation (AF) (C). This case demonstrates that VF induced by atrial tachyarrhythmia could contribute to AF-related sudden cardiac death.

摘要

一名肥厚型心肌病患者发生了心肺骤停。一台自动体外除颤器对心室颤动进行了除颤（A）。起搏器记录到在患者晕倒前出现了伴有快速心室反应的房性心动过速（B）。几分钟后，起搏器记录到双发性快速心律失常，其特征为同时存在心室颤动（VF）和心房颤动（AF）（C）。该病例表明，房性快速心律失常诱发的心室颤动可能导致与心房颤动相关的心脏性猝死。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f83/10848627/e77806df113a/JOA3-40-180-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f83/10848627/4ef7168662ef/JOA3-40-180-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f83/10848627/a076d048c02b/JOA3-40-180-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f83/10848627/e77806df113a/JOA3-40-180-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f83/10848627/4ef7168662ef/JOA3-40-180-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f83/10848627/a076d048c02b/JOA3-40-180-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f83/10848627/e77806df113a/JOA3-40-180-g003.jpg

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本文引用的文献

1
JCS/JHFS 2018 Guideline on the Diagnosis and Treatment of Cardiomyopathies.《日本循环学会/日本心力衰竭学会2018年心肌病诊断与治疗指南》
Circ J. 2021 Aug 25;85(9):1590-1689. doi: 10.1253/circj.CJ-20-0910. Epub 2021 Jul 22.
2
Association Between Atrial Fibrillation and Sudden Cardiac Death: Pathophysiological and Epidemiological Insights.心房颤动与心源性猝死的关联：病理生理学和流行病学的新见解。
Circ Res. 2020 Jul 3;127(2):301-309. doi: 10.1161/CIRCRESAHA.120.316756. Epub 2020 Jul 2.
3
Inappropriate implantable cardioverter-defibrillator shocks: incidence, predictors, and impact on mortality.
不适当的植入式心脏复律除颤器电击：发生率、预测因素及对死亡率的影响。
J Am Coll Cardiol. 2011 Feb 1;57(5):556-62. doi: 10.1016/j.jacc.2010.06.059.
4
Do atrial tachyarrhythmias beget ventricular tachyarrhythmias in defibrillator recipients?在植入除颤器的患者中，房性快速性心律失常会引发室性快速性心律失常吗？
J Am Coll Cardiol. 2002 Jul 17;40(2):335-40. doi: 10.1016/s0735-1097(02)01957-5.
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Association between atrial fibrillation and appropriate implantable cardioverter defibrillator therapy: results from a prospective study.
J Cardiovasc Electrophysiol. 2000 Nov;11(11):1208-14. doi: 10.1046/j.1540-8167.2000.01208.x.