Freed M S, Sacks P, Ellman M H
Arch Intern Med. 1985 Oct;145(10):1904-5.
A 19-year-old man presented with fever, migratory polyarthritis, and palpitations; a diagnosis of acute rheumatic fever was made. Twenty-four-hour ambulatory cardiac monitoring (Holter) performed during the patient's hospitalization revealed ventricular tachycardia. Although disturbances in cardiac conduction and rhythm are common during the acute phase of rheumatic fever, malignant ventricular arrhythmias, to our knowledge, have not been described. Recognition of this occurrence emphasizes the need for continuous cardiac monitoring in selected patients.
一名19岁男性出现发热、游走性多关节炎和心悸；诊断为急性风湿热。患者住院期间进行的24小时动态心脏监测（Holter）显示室性心动过速。虽然心脏传导和节律紊乱在风湿热急性期很常见，但据我们所知，恶性室性心律失常尚未见报道。认识到这种情况的发生强调了对特定患者进行持续心脏监测的必要性。
