Talard P, Lévy S, Bonal J, Paganelli F, Bouchiat C, Cellarier G, Dussarat G V
Department of Cardiology, Toulon Naval, Hospital St. Anne, Marseille, France.
Pacing Clin Electrophysiol. 1996 Aug;19(8):1264-7. doi: 10.1111/j.1540-8159.1996.tb04199.x.
Aborted sudden death as the presenting manifestation of hypertrophic cardiomyopathy in a 14-year-old child is reported. Documented ventricular fibrillation was the cause of cardiac arrest. No ventricular arrhythmia was induced during programmed electrical stimulation. An implantable cardioverter-defibrillator was indicated. As the patient had a family history of myocardial disease, he had undergone a cardiovascular evaluation 4 years before the major event, and was found normal. It is suggested that normal physical examination, ECG, echocardiogram should not rule out the diagnosis of hypertrophic cardiomyopathy when a family history is present. Left ventricular hypertrophy may develop during childhood in patients with hypertrophic cardiomyopathy.
据报道，一名14岁儿童以肥厚型心肌病的首发表现为猝死未遂。记录显示室颤是心脏骤停的原因。程控电刺激期间未诱发室性心律失常。因此植入了植入式心脏复律除颤器。由于该患者有心肌病家族史，在此次重大事件发生4年前他曾接受过心血管评估，结果正常。提示当存在家族史时，正常的体格检查、心电图、超声心动图并不能排除肥厚型心肌病的诊断。肥厚型心肌病患者的左心室肥厚可能在儿童期出现。
