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儿童室性心律失常与猝死

Ventricular arrhythmias and sudden death in children.

作者信息

Garson A, Smith R T, Moak J P, Ross B A, McNamara D G

出版信息

J Am Coll Cardiol. 1985 Jun;5(6 Suppl):130B-133B. doi: 10.1016/s0735-1097(85)80542-8.

DOI:10.1016/s0735-1097(85)80542-8
PMID:3998329
Abstract

In children, sudden death related to ventricular arrhythmias occurs virtually always in a patient with an abnormal heart. Therefore, children with ventricular tachycardia should be thoroughly investigated by anatomic cardiac catheterization and possibly electrophysiologic study. Sudden death may occur in a patient who had been relatively asymptomatic. This especially occurs in patients after repair of congenital heart disease. The patient may also never have had documented ventricular tachycardia, although most have had at least premature ventricular complexes on a Holter monitor recording. Finally, sudden death related to ventricular arrhythmias can often be prevented with vigorous medical and surgical therapy.

摘要

在儿童中,与室性心律失常相关的猝死几乎总是发生在心脏异常的患者身上。因此,患有室性心动过速的儿童应通过解剖性心导管检查并可能进行电生理研究进行全面检查。猝死可能发生在相对无症状的患者身上。这尤其发生在先天性心脏病修复后的患者中。患者也可能从未记录过室性心动过速,尽管大多数患者在动态心电图监测记录中至少有室性早搏。最后,通过积极的药物和手术治疗,与室性心律失常相关的猝死通常是可以预防的。

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