Fuenmayor A J, Fuenmayor A M
Department of Physiology, University of The Andes, Mérida, Venezuela.
Int J Cardiol. 1997 Mar;59(1):101-3. doi: 10.1016/s0167-5273(96)02903-8.
We describe the case of a patient who, after a binge, had an episode of ventricular fibrillation (holiday heart syndrome) and was successfully resuscitated. In the electrophysiological study, we found dual atrioventricular nodal pathways, an atrioventricular effective refractory period of 210 ms, and an inducible atrial fibrillation with a ventricular response of 210 bpm that produced hemodynamic collapse. Atrioventricular nodal modification by radiofrequency ablation was successfully performed. The patient stopped drinking alcohol and has remained completely asymptomatic. In this case, ventricular fibrillation was probably caused by the fibrillating atria combined with a fast AV node.
我们描述了一例患者的病例，该患者在一次狂饮后发生了室颤（假日心脏综合征）并成功复苏。在电生理研究中，我们发现了双房室结径路、房室有效不应期为210毫秒，以及可诱发的房颤，心室率为210次/分钟，导致血流动力学崩溃。通过射频消融成功进行了房室结改良。患者戒酒，此后一直完全无症状。在该病例中，室颤可能是由颤动的心房与快速的房室结共同作用引起的。
