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长QT综合征中的室性快速性心律失常

Ventricular tachyarrhythmias in the long QT syndromes.

作者信息

Jackman W M, Clark M, Friday K J, Aliot E M, Anderson J, Lazzara R

出版信息

Med Clin North Am. 1984 Sep;68(5):1079-109. doi: 10.1016/s0025-7125(16)31087-2.

DOI:10.1016/s0025-7125(16)31087-2
PMID:6149338
Abstract

Marked prolongation of the electrocardiographic QT interval often is associated with a distinctive form of ventricular tachycardia characterized by the gradual oscillation around the baseline of the peaks of successive QRS complexes. This was named torsades de pointes, or "twisting of the points." This form of ventricular tachycardia tends to be rapid and self-terminating and often occurs in clusters, leading afflicted patients to present with recurrent dizziness and syncope. Ventricular fibrillation and sudden death are common.

摘要

心电图QT间期明显延长通常与一种特殊形式的室性心动过速相关,其特征为连续QRS波群的峰值围绕基线逐渐振荡。这被命名为尖端扭转型室速,即“点的扭转”。这种室性心动过速往往快速且自行终止,常呈簇状发作,导致患病患者反复出现头晕和晕厥。室颤和猝死很常见。

相似文献

1
Ventricular tachyarrhythmias in the long QT syndromes.长QT综合征中的室性快速性心律失常
Med Clin North Am. 1984 Sep;68(5):1079-109. doi: 10.1016/s0025-7125(16)31087-2.
2
[Clinical and electrophysiological observations in a case of Romano-Ward syndrome ].罗曼诺-沃德综合征一例的临床及电生理观察
Wien Klin Wochenschr. 1982 May 14;94(10):265-70.
3
Possible mechanisms of the arrhythmias in the long QT syndrome.
Eur Heart J. 1985 Nov;6 Suppl D:115-29. doi: 10.1093/eurheartj/6.suppl_d.115.
4
Electrophysiologic testing in patients with the long QT syndrome.长QT综合征患者的电生理检查
Circulation. 1985 Jan;71(1):63-71. doi: 10.1161/01.cir.71.1.63.
5
Drug-induced torsade de pointes.药物性尖端扭转型室性心动过速
Clin Pharm. 1985 Nov-Dec;4(6):675-90.
6
Overdrive pacing in quinidine syncope and other long QT-interval syndromes.奎尼丁晕厥及其他长QT间期综合征中的超速起搏
Arch Intern Med. 1980 Aug;140(8):1036-40.
7
The long QT syndrome: a prospective international study.长QT综合征:一项前瞻性国际研究。
Circulation. 1985 Jan;71(1):17-21. doi: 10.1161/01.cir.71.1.17.
8
Relations of QTc prolongation on the electrocardiogram to torsades de pointes: definitions and mechanisms.心电图上QTc延长与尖端扭转型室速的关系:定义与机制。
Am J Cardiol. 1993 Aug 26;72(6):10B-13B. doi: 10.1016/0002-9149(93)90033-9.
9
Hypocalcemic Torsades de Pointes.低钙血症性尖端扭转型室速
J Electrocardiol. 1989 Jan;22(1):89-92. doi: 10.1016/0022-0736(89)90026-5.
10
Idiopathic long QT syndrome: progress and questions.特发性长QT综合征:进展与问题
Am Heart J. 1985 Feb;109(2):399-411. doi: 10.1016/0002-8703(85)90626-x.

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