Fuenmayor A J, Fuenmayor A M
Centro de Investigaciones Cardiovasculares Dr. Abdel M. Fuenmayor P., Universidad, Mérida, Venezuela.
Arch Inst Cardiol Mex. 1996 Mar-Apr;66(2):157-61.
We review the literature on sudden cardiac death in patients with chagasic myocarditis. Taking into account the published data, we discuss the differences between sudden cardiac death that occur in chagasic patients and that of patients with other cardiac diseases in particular with ischemic heart disease. On the basis of these differences, alternative physiopathological mechanisms are proposed: in chagasic patients, tachyarrhythmias are more frequently mediated by post-potential activity, and thus a larger proportion of brady-asystolic sudden death occurs.
我们回顾了关于恰加斯性心肌炎患者心源性猝死的文献。考虑到已发表的数据,我们讨论了恰加斯病患者发生的心源性猝死与其他心脏病患者(特别是缺血性心脏病患者)的心源性猝死之间的差异。基于这些差异,我们提出了不同的生理病理机制:在恰加斯病患者中,快速性心律失常更常由后电位活动介导,因此缓慢性 - 心搏停止性猝死的比例更大。