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杰韦尔和朗格-尼尔森综合征。

The Jervell and Lange-Nielsen syndrome.

作者信息

Komsuoğlu B, Göldeli O, Kulan K, Budak F, Gedik Y, Tuncer C, Komsuoğlu S S

机构信息

Department of Cardiology, Blacksea Technical University, Farabi Hospital, Trabzon, Turkey.

出版信息

Int J Cardiol. 1994 Dec;47(2):189-92. doi: 10.1016/0167-5273(94)90190-2.

Abstract

The association of prolongation of the QT interval with recurrent attacks of syncope, sudden death, and malignant ventricular arrhythmias is known as the long QT syndrome. The syndrome may be familial with or without congenital deafness, or idiopatic. The syndrome with deafness (Jervell and Lange-Nielsen syndrome) is inherited through an autosomal recessive mechanism. In this study, we attempted to identify patients with the Jervell Lange-Nielsen syndrome amongst 154 deaf mute school children. Two patients had a corrected QT interval of 0.52 and congenital sensorineural hearing loss with the other electrocardiographic changes characteristic of the syndrome, such as inverted or bifid T wave. There was no evidence of electrocardiographic (ECG) abnormality in family members, except only one case of parental deafness. This is the first and preliminary report that analyzed the incidence of the Jervell and Lange-Nielsen syndrome amongst 154 deaf mute school children in Turkey. Our study was conducted to identify patients with this syndrome amongst children of another deaf mute school in Turkey.

摘要

QT间期延长与晕厥反复发作、猝死及恶性室性心律失常相关,这被称为长QT综合征。该综合征可能是家族性的,伴有或不伴有先天性耳聋,也可能是特发性的。伴有耳聋的综合征(杰韦尔和朗格-尼尔森综合征)通过常染色体隐性遗传机制遗传。在本研究中,我们试图在154名聋哑学童中识别出患有杰韦尔和朗格-尼尔森综合征的患者。两名患者的校正QT间期为0.52,伴有先天性感音神经性听力损失以及该综合征的其他特征性心电图改变,如T波倒置或双峰。除了一例父母耳聋的情况外,家庭成员中没有心电图异常的证据。这是第一份也是初步报告,分析了土耳其154名聋哑学童中杰韦尔和朗格-尼尔森综合征的发病率。我们的研究旨在识别土耳其另一所聋哑学校儿童中患有该综合征的患者。

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