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急性颈髓损伤中的多形性室性心动过速：QTc正常情况下的罕见现象

Polymorphic Ventricular Tachycardia in Acute Cervical Spinal Cord Injury: A Rare Occurrence in the Setting of Normal QTc.

作者信息

Mahanta Dibya S, Budhia Anup K, Barik Rama C, Das Debasish, Mohanty Ranjan K, Acharya Debasis

机构信息

Cardiology, Institute of Medical Sciences and Sum Hospital, Bhubaneswar, IND.

Internal Medicine, Hi-Tech Medical College and Hospital, Bhubaneswar, IND.

出版信息

Cureus. 2024 Jan 31;16(1):e53299. doi: 10.7759/cureus.53299. eCollection 2024 Jan.

DOI:10.7759/cureus.53299
PMID:38435904
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10905206/
Abstract

Cardiovascular manifestations like bradycardia, hypotension, fluctuation of blood pressure, and supraventricular arrhythmia are common in acute spinal cervical injury above the C6 level and are the major cause of mortality and morbidity in them. Ventricular tachycardia (VT) and fibrillation have only been reported in a few cases, but polymorphic VT (PMVT) has not been reported. We report a very rare case of acute cervical spinal cord injury patient who developed PMVT in the setting of normal QT interval degenerating to ventricular fibrillation, causing cardiac arrest before surgery.

摘要

心血管表现如心动过缓、低血压、血压波动和室上性心律失常在颈6以上的急性颈椎损伤中很常见，是这些患者死亡和发病的主要原因。室性心动过速（VT）和颤动仅在少数病例中有报道，但多形性室性心动过速（PMVT）尚未见报道。我们报告了1例非常罕见的急性颈脊髓损伤患者，该患者在QT间期正常的情况下发生PMVT并恶化为心室颤动，导致术前心脏骤停。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/591b/10905206/22dedb8e150e/cureus-0016-00000053299-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/591b/10905206/20aff3f48941/cureus-0016-00000053299-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/591b/10905206/8bd3c22864de/cureus-0016-00000053299-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/591b/10905206/7ec6bd753f79/cureus-0016-00000053299-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/591b/10905206/22dedb8e150e/cureus-0016-00000053299-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/591b/10905206/20aff3f48941/cureus-0016-00000053299-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/591b/10905206/8bd3c22864de/cureus-0016-00000053299-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/591b/10905206/7ec6bd753f79/cureus-0016-00000053299-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/591b/10905206/22dedb8e150e/cureus-0016-00000053299-i04.jpg

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Top Spinal Cord Inj Rehabil. 2018 Spring;24(2):167-176. doi: 10.1310/sci17-00028. Epub 2018 Feb 12.
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Alterations in cardiac autonomic control in spinal cord injury.脊髓损伤中心脏自主神经控制的改变。
Auton Neurosci. 2018 Jan;209:4-18. doi: 10.1016/j.autneu.2017.02.004. Epub 2017 Feb 15.
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Life-threatening outcomes associated with autonomic dysreflexia: a clinical review.
与自主神经反射异常相关的危及生命的后果：一项临床综述。
J Spinal Cord Med. 2014 Jan;37(1):2-10. doi: 10.1179/2045772313Y.0000000098. Epub 2013 Nov 26.
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