一名患者，其自限性室颤是心肌再灌注的一种表现。
A patient in whom self-terminating ventricular fibrillation was a manifestation of myocardial reperfusion.
作者信息
van Hemel N M, Kingma J H
机构信息
Department of Cardiology, St Antonius Hospital, Nieuwegein, The Netherlands.
出版信息
Br Heart J. 1993 Jun;69(6):568-71. doi: 10.1136/hrt.69.6.568.
Abstract
Self-terminating ventricular fibrillation was recorded in a 47 year old woman without coronary artery or other structural heart disease. Reperfusion was thought to be responsible for the ventricular fibrillation because the arrhythmia started while the ST segment was returning to the baseline during an episode of silent ischaemia that was probably caused by coronary spasm. This case shows that potentially lethal arrhythmias can arise during reperfusion and that ventricular fibrillation during reperfusion may be self-terminating.
摘要
在一名无冠状动脉或其他结构性心脏病的47岁女性中记录到了自限性室颤。再灌注被认为是室颤的原因，因为心律失常在一次可能由冠状动脉痉挛引起的无症状性缺血发作期间，ST段恢复到基线时开始出现。该病例表明，再灌注期间可能会出现潜在致命性心律失常，且再灌注期间的室颤可能是自限性的。
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