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[心动过速所致心肌病:典型临床病例描述]

[Cardiomyopathy induced by tachycardia: description of a typical clinical case].

作者信息

Gardini A, D'Aloia A, Faggiano P, Benedini G

机构信息

Sezione di Cardiostimolazione, Casa di Cura S. Anna, Brescia.

出版信息

G Ital Cardiol. 1997 Jul;27(7):697-700.

PMID:9303860
Abstract

Different chronic tachyarrhythmias may cause a form of reversible myocardial dysfunction and left ventricular enlargement known as tachycardia-induced cardiomyopathy. Many authors in recent years observed that the control of heart rate or interruption of the arrhythmia were frequently associated with a significant improvement in ventricular function and a reduction of cardiac dimensions. We report a case of tachycardia-induced cardiomyopathy secondary to atrial fibrillation of unknown duration which occurred in a young patient with structurally normal heart. The regression of left ventricular enlargement and the recovery of left ventricular systolic function were complete few months after the restoration of sinus rhythm.

摘要

不同的慢性快速性心律失常可能会导致一种可逆性心肌功能障碍和左心室扩大的形式,称为心动过速性心肌病。近年来,许多作者观察到控制心率或中断心律失常常常伴随着心室功能的显著改善和心脏大小的减小。我们报告一例继发于不明时长心房颤动的心动过速性心肌病病例,该病例发生在一名心脏结构正常的年轻患者身上。窦性心律恢复几个月后,左心室扩大完全消退,左心室收缩功能完全恢复。

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