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[长QT综合征:以癫痫为表现形式]

[The long QT syndrome: epilepsy as the form of presentation].

作者信息

Gatto E M, Fernández Pardal M M, Micheli F, González M A, Daru V D

机构信息

Instituto de Neurocirugía y Neurología, Sanatorio Mitre.

出版信息

Rev Clin Esp. 1993 May;192(8):380-2.

PMID:8511375
Abstract

Prolongation of the QT interval, either on a congenital or an acquired basis, is associated with an increased likelihood of malignant ventricular arrhythmias with a high rate of morbimortality. Symptoms are variables, and patients may develop seizures, syncope and sudden death. Herein we report a young woman 17 years old with long QT syndrome, seizures and recurrent attacks of syncope; her initial diagnosis was primary epilepsy. An electrocardiogram performed 3 years after the initials symptoms was able to make the diagnosis long QT syndrome. The specific treatment controlled the malignant ventricular arrhythmias and the symptomatic status of this patient.

摘要

QT间期延长,无论是先天性还是后天性的,都与恶性室性心律失常的可能性增加相关,且病死亡率很高。症状多样,患者可能会出现癫痫发作、晕厥和猝死。在此,我们报告一名17岁的年轻女性,患有长QT综合征、癫痫发作和反复发作的晕厥;她最初被诊断为原发性癫痫。初始症状出现3年后进行的心电图检查得以诊断出长QT综合征。针对性治疗控制了该患者的恶性室性心律失常和症状状态。

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