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一名患有持续性室上性心动过速的年轻男性接受导管消融术的噩梦。

The nightmare of catheter ablation in a young male with incessant supraventricular tachycardia.

作者信息

Tran Dat Cao, Lin Chin-Yu

机构信息

Taipei Veteran General Hospital Taipei Taiwan.

Cho Ray Hospital Ho Chi Minh city Vietnam.

出版信息

J Arrhythm. 2024 Jul 23;40(5):1183-1186. doi: 10.1002/joa3.13120. eCollection 2024 Oct.

DOI:10.1002/joa3.13120
PMID:39416233
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11474928/
Abstract

A case report involving incessant multi-types of supraventricular tachycardia and acute decompensated heart failure required a rescuing electrophysiology study and ablation. Ventricular fibrillation occurred due to coronary spasm, complicating the deteriorating heart. However, aggressive therapies, including extracorporeal support and the timely elimination of the culprit accessory pathway, successfully resolved the patient's condition.

摘要

一份涉及持续性多种类型室上性心动过速和急性失代偿性心力衰竭的病例报告需要进行抢救性电生理研究和消融。因冠状动脉痉挛发生心室颤动，使病情恶化的心脏情况更加复杂。然而，包括体外支持和及时消除致病旁路在内的积极治疗成功地解决了患者的病情。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e1c/11474928/0223da86c96e/JOA3-40-1183-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e1c/11474928/89a8083e5d52/JOA3-40-1183-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e1c/11474928/8e5403e908ae/JOA3-40-1183-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e1c/11474928/679008ac03d6/JOA3-40-1183-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e1c/11474928/0223da86c96e/JOA3-40-1183-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e1c/11474928/89a8083e5d52/JOA3-40-1183-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e1c/11474928/8e5403e908ae/JOA3-40-1183-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e1c/11474928/679008ac03d6/JOA3-40-1183-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e1c/11474928/0223da86c96e/JOA3-40-1183-g002.jpg

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The nightmare of catheter ablation in a young male with incessant supraventricular tachycardia.一名患有持续性室上性心动过速的年轻男性接受导管消融术的噩梦。
J Arrhythm. 2024 Jul 23;40(5):1183-1186. doi: 10.1002/joa3.13120. eCollection 2024 Oct.
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本文引用的文献

1
Outflow tract ventricular tachycardia mapped to the coronary arteries: anatomical correlates and management strategies.流出道室性心动过速的冠状动脉映射：解剖学相关性和管理策略。
J Cardiovasc Electrophysiol. 2013 Dec;24(12):1416-22. doi: 10.1111/jce.12251. Epub 2013 Sep 17.
2
Coronary artery spasm during radiofrequency ablation of a left lateral accessory pathway.左侧旁路射频消融术中冠状动脉痉挛
Pediatr Cardiol. 2010 Jul;31(5):724-7. doi: 10.1007/s00246-010-9670-4. Epub 2010 Feb 14.
3
Incidence of coronary artery injury immediately after catheter ablation for supraventricular tachycardias in infants and children.
婴幼儿及儿童室上性心动过速导管消融术后即刻冠状动脉损伤的发生率
Heart Rhythm. 2009 Apr;6(4):461-7. doi: 10.1016/j.hrthm.2009.01.029. Epub 2009 Feb 25.
4
Heart failure and sudden death in patients with tachycardia-induced cardiomyopathy and recurrent tachycardia.心动过速性心肌病和复发性心动过速患者的心力衰竭与猝死
Circulation. 2004 Jul 20;110(3):247-52. doi: 10.1161/01.CIR.0000135472.28234.CC. Epub 2004 Jun 28.