Masrani K, Cowley C, Bekheit S, el-Sherif N
Department of Medicine, State University of New York Health Science Center, Brooklyn.
Chest. 1994 Nov;106(5):1601-3. doi: 10.1378/chest.106.5.1601.
A 35-year-old man had a history of recurrent syncope for more than a decade. During a witnessed episode, an ambulatory electrocardiographic recording showed ventricular flutter/fibrillation that lasted for 2 1/2 minutes and terminated spontaneously without adverse neurologic sequelae. No structural heart disease and no possible etiologic factor for the ventricular tachyarrhythmia was found. The patient received an automatic implantable cardioverter defibrillator. Review of the literature suggests that the automatic implantable cardioverter defibrillator is a valid option in idiopathic ventricular fibrillation in young individuals to avoid the potential risk of recurrent cardiac arrest.
一名35岁男性有超过十年的反复晕厥病史。在一次有旁人见证的发作期间，动态心电图记录显示室性扑动/颤动持续了2分半钟，随后自行终止，未留下神经系统后遗症。未发现结构性心脏病，也未发现室性快速心律失常的可能病因。该患者接受了植入式自动心脏复律除颤器。文献回顾表明，对于年轻个体的特发性心室颤动，植入式自动心脏复律除颤器是一种有效的选择，可避免反复心脏骤停的潜在风险。
