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一例罕见的严重致心律失常性右室心肌病病例

An Unexpected Case of Severe Arrhythmogenic Right Ventricular Cardiomyopathy.

作者信息

Wassouf Maggie, Masri Noura W, Wassouf Waseem, Mansour Mohamad J, Nasr Samer R

机构信息

Internal Medicine, University of Balamand, Beirut, LBN.

Division of Cardiology, University of Balamand, Beirut, LBN.

出版信息

Cureus. 2024 Feb 26;16(2):e54922. doi: 10.7759/cureus.54922. eCollection 2024 Feb.

DOI:10.7759/cureus.54922
PMID:38544607
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10966888/
Abstract

We present the case of a previously healthy 14-year-old boy who experienced two episodes of lightheadedness while sitting under the sun. The patient did not experience syncope and denied experiencing any other symptoms. Moreover, he exhibited great functional capacity. An electrocardiogram showed T-wave inversions in leads V1 to V4. Subsequent echocardiogram and cardiac magnetic resonance imaging confirmed the diagnosis of arrhythmogenic cardiomyopathy with severe features. Arrhythmogenic cardiomyopathy is a disorder characterized by fibrofatty degeneration of the myocardium and is a common cause of sudden cardiac death. This case highlights the significance of early investigation in any child who presents with seemingly benign symptoms, as they may be indicative of a serious cardiac disease.

摘要

我们报告一例既往健康的14岁男孩病例,该男孩在阳光下坐着时经历了两次头晕发作。患者未发生晕厥,否认有任何其他症状。此外,他表现出很强的功能能力。心电图显示V1至V4导联T波倒置。随后的超声心动图和心脏磁共振成像确诊为具有严重特征的致心律失常性心肌病。致心律失常性心肌病是一种以心肌纤维脂肪变性为特征的疾病,是心源性猝死的常见原因。该病例强调了对任何出现看似良性症状的儿童进行早期检查的重要性,因为这些症状可能预示着严重的心脏疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/534c/10966888/3a4a7fe41807/cureus-0016-00000054922-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/534c/10966888/9991b1955388/cureus-0016-00000054922-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/534c/10966888/ca4318da4b17/cureus-0016-00000054922-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/534c/10966888/9a9317efe7e7/cureus-0016-00000054922-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/534c/10966888/ee8c288500e3/cureus-0016-00000054922-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/534c/10966888/3a4a7fe41807/cureus-0016-00000054922-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/534c/10966888/9991b1955388/cureus-0016-00000054922-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/534c/10966888/ca4318da4b17/cureus-0016-00000054922-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/534c/10966888/9a9317efe7e7/cureus-0016-00000054922-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/534c/10966888/ee8c288500e3/cureus-0016-00000054922-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/534c/10966888/3a4a7fe41807/cureus-0016-00000054922-i05.jpg

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本文引用的文献

1
Antiarrhythmic Drug Therapy in Arrhythmogenic Right Ventricular Cardiomyopathy.致心律失常性右室心肌病的抗心律失常药物治疗
Biomedicines. 2023 Apr 19;11(4):1213. doi: 10.3390/biomedicines11041213.
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Arrhythmogenic right ventricular cardiomyopathy: a focused update on diagnosis and risk stratification.致心律失常性右室心肌病:诊断与危险分层的重点更新
Heart. 2022 Jan;108(2):90-97. doi: 10.1136/heartjnl-2021-319113. Epub 2021 May 14.
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Arrhythmogenic Right Ventricular Cardiomyopathy/Dysplasia (ARVC/D) - What We Have Learned after 40 Years of the Diagnosis of This Clinical Entity.致心律失常性右室心肌病/发育不良(ARVC/D)——诊断这种临床实体 40 年后的我们所了解的
Arq Bras Cardiol. 2019 Jan;112(1):91-103. doi: 10.5935/abc.20180266.
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Right ventricular dysplasia: management and treatment in light of current evidence.右心室发育不良:基于当前证据的管理与治疗
J Community Hosp Intern Med Perspect. 2018 Jun 12;8(3):101-106. doi: 10.1080/20009666.2018.1472513. eCollection 2018.
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