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强直性肌营养不良症的心脏内传导缺陷。12例的电生理研究

Intracardiac conduction defects in dystrophia myotonica. Electrophysiological study of 12 cases.

作者信息

Komajda M, Frank R, Vedel J, Fontaine G, Petitot J C, Grosgogeat Y

出版信息

Br Heart J. 1980 Mar;43(3):315-20. doi: 10.1136/hrt.43.3.315.

Abstract

Twelve patients with dystrophia myotonica had cardiac electrphysiological study for conduction disturbances (five cases) or for syncope (seven cases). Conduction disturbances were found in each case, being intranodal in two cases, intra-Hisian in three cases, or diffuse in seven cases. These findings are in agreement with those previously reported, and may be related to the high incidence of sudden death in these patients. Pacemakers are advocated in symptomatic patients, and in some asymptomatic patients with severe and diffuse lesions.

摘要

12例强直性肌营养不良患者因传导障碍(5例)或晕厥(7例)接受了心脏电生理检查。所有病例均发现有传导障碍,其中2例为结内传导障碍,3例为希氏束内传导障碍,7例为弥漫性传导障碍。这些发现与先前报道的一致,可能与这些患者的猝死高发生率有关。对于有症状的患者以及一些有严重弥漫性病变的无症状患者,提倡植入起搏器。

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Site of conduction disturbances in a family with myotonic dystrophy.
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引用本文的文献

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本文引用的文献

1
The heart in myotonia atrophica.萎缩性肌强直中的心脏
Br Heart J. 1951 Jul;13(3):343-7. doi: 10.1136/hrt.13.3.343.
2
Cardiovascular observations in dystrophia myotonica.强直性肌营养不良的心血管观察
J Am Med Assoc. 1950 Sep 23;144(4):299-303. doi: 10.1001/jama.1950.02920040013004.
3
THE HEART IN MYOTONIC DISEASE.
Acta Med Scand. 1964 Oct;176:479-91. doi: 10.1111/j.0954-6820.1964.tb00953.x.
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MYOTONIC MUSCULAR DYSTROPHY; SYSTEMIC MANIFESTATIONS.强直性肌营养不良;全身表现
Arch Intern Med. 1964 Nov;114:669-79. doi: 10.1001/archinte.1964.03860110139016.
7
A-V dissociation in dystrophia myotonica.强直性肌营养不良中的房室分离。
Br Heart J. 1953 Jul;15(3):357-9. doi: 10.1136/hrt.15.3.357.

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