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二尖瓣脱垂患者的单形性室性心动过速。

Monomorphic right ventricular tachycardia in a patient with mitral valve prolapse.

作者信息

Kosmas C E, Dalessandro D A, Langieri G, Rubin A M, Rials S J, Marinchak R A, Kowey P R

机构信息

Division of Cardiovascular Diseases, Lankenau Hospital and Medical Research Center, Wynnewood, Pennsylvania, USA.

出版信息

Pacing Clin Electrophysiol. 1996 Apr;19(4 Pt 1):509-13. doi: 10.1111/j.1540-8159.1996.tb06526.x.

DOI:10.1111/j.1540-8159.1996.tb06526.x
PMID:8848403
Abstract

A patient with mitral valve prolapse and symptomatic ventricular ectopy underwent an electrophysiological study during which a sustained monomorphic ventricular tachycardia with a left bundle branch block/right axis deviation morphology was induced. This morphology was replicated by pace mapping at the right ventricular outflow tract. To the best of our knowledge, this finding has not been previously described and suggests that the association between ventricular arrhythmias and mitral valve prolapse may not necessarily be causal.

摘要

一名患有二尖瓣脱垂和有症状室性早搏的患者接受了电生理研究,在此期间诱发了一种具有左束支传导阻滞/右轴偏移形态的持续性单形性室性心动过速。这种形态通过右心室流出道的起搏标测得以复制。据我们所知,这一发现此前尚未有过描述,提示室性心律失常与二尖瓣脱垂之间的关联不一定是因果关系。

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