Greenland P, Griggs R C
Arch Intern Med. 1980 Aug;140(8):1053-5.
The occurrence of cardiac arrhythmia in Guillain-Barré syndrome (GBS) was examined in a retrospective study of 16 consecutive patients with GBS admitted to an intensive care unit primarily for respiratory insufficiency, Bradyarrhythmias, including sinus arrest or atrioventricular block rhythms, and/or tachyarrhythmias, supraventricular as well as ventricular, were observed in 13 patients. Two patients required pacemaker insertion because of recurrent asystolic episodes. Of the four fatalities, however, none were considered cardiac in origin. While clinically apparent autonomic nervous system dysfunction accompanied many of the observed arrhythmias and may be involved in arrhythmogenesis, these patients also suffered from pulmonary, infectious, and thromboembolic complications that could produce similar arrhythmic complications and must also be considered whenever such arrhythmias are seen.
对16例因呼吸功能不全而入住重症监护病房的格林-巴利综合征（GBS）患者进行了一项回顾性研究，以调查GBS中心律失常的发生情况。13例患者观察到缓慢性心律失常，包括窦性停搏或房室传导阻滞节律，和/或快速性心律失常，包括室上性和室性。2例患者因反复出现心搏停止发作而需要植入起搏器。然而，在4例死亡病例中，无一例被认为是心脏原因所致。虽然许多观察到的心律失常伴有临床上明显的自主神经系统功能障碍，且可能参与心律失常的发生，但这些患者还患有肺部、感染性和血栓栓塞性并发症，这些并发症可能产生类似的心律失常并发症，因此每当出现此类心律失常时，也必须予以考虑。
