一名脑干出血患者出现尖端扭转型室速和T波交替。

Torsade de pointes and T-wave alternans in a patient with brainstem hemorrhage.

作者信息

Chao C L, Chen W J, Wu C C, Lee Y T

机构信息

Department of Internal Medicine, National Taiwan University Hospital, Taipei.

出版信息

Int J Cardiol. 1995 Sep;51(2):199-201. doi: 10.1016/0167-5273(95)02407-n.

DOI:10.1016/0167-5273(95)02407-n

PMID:8522417

Abstract

Torsade de pointes, a form of life-threatening ventricular arrhythmia associated with QT prolongation, is rarely reported in intracranial hemorrhage. T-wave alternans is recently considered a risk marker for ventricular arrhythmias. To our knowledge, we report the first case of brainstem hemorrhage in which the patient presented with torsade de pointes and T-wave alternans. The implication of this association is discussed.

摘要

尖端扭转型室性心动过速是一种与QT间期延长相关的危及生命的室性心律失常，在颅内出血中很少见。T波交替目前被认为是室性心律失常的一个风险标志物。据我们所知，我们报告了首例脑干出血患者出现尖端扭转型室性心动过速和T波交替的病例。并对这种关联的意义进行了讨论。