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房性心动过速诱发心肌病的新视角:一名11岁女孩上腹部疼痛的误诊

A new perspective on atrial tachycardia-induced cardiomyopathy: The misdiagnosis of epigastric pain in an 11-year-old girl.

作者信息

Zhang Min, Zhang Yong, Cao Xiaoxiao

机构信息

The Children's Heart Center, Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science & Technology, 100 Hongkong Road, Jiangan District, Wuhan, Hubei, China.

出版信息

Radiol Case Rep. 2024 Sep 27;19(12):6538-6541. doi: 10.1016/j.radcr.2024.09.086. eCollection 2024 Dec.

Abstract

Epigastric pain can be a common clinical manifestation of many diseases, but severe subxiphoid pain caused by tachycardia-induced cardiomyopathy is extremely rare in children. Therefore, the clinical manifestations of the disease are diverse, and improving early detection and treatment of the disease can avoid possible risks. In the case, we report an 11-year-old girl who was initially diagnosed with acute gastritis in a local hospital, but was later diagnosed with atrial tachycardia-induced cardiomyopathy in our hospital after active diagnosis and effective treatment, suggesting early detection and intervention is possible to prevent subsequent serious events.

摘要

上腹部疼痛可能是多种疾病的常见临床表现,但由心动过速性心肌病引起的严重剑突下疼痛在儿童中极为罕见。因此,该疾病的临床表现多样,提高对该疾病的早期发现和治疗可以避免可能的风险。在此病例中,我们报告一名11岁女孩,她最初在当地医院被诊断为急性胃炎,但在我院经过积极诊断和有效治疗后,后来被诊断为房性心动过速性心肌病,这表明早期发现和干预有可能预防随后的严重事件。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80d3/11465059/9ba9d7ac45e0/gr1.jpg

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