Bartolomé F B, Sánchez Fernández-Bernal C
Unidad de Arritmias, Hospital Infantil La Paz, Madrid.
Rev Esp Cardiol. 1998 Mar;51(3):252-4.
Idiopathic verapamil-responsive left ventricular tachycardia is an uncommon arrhythmia in childhood. Although this tachycardia is usually responsive to verapamil, non-pharmacologic therapy may be necessary in the long-term follow-up. We report a thirty-four month old child with incessant left ventricular tachycardia refractory to digoxin and amiodarone. The diagnosis was confirmed by electrophysiologic study. Intravenous verapamil successfully controlled the arrhythmia. On oral verapamil, the patient remains asymptomatic over a follow up period of 7 years and 10 months.
特发性维拉帕米敏感性左室性心动过速在儿童期是一种不常见的心律失常。虽然这种心动过速通常对维拉帕米有反应，但在长期随访中可能需要非药物治疗。我们报告一名34个月大的儿童，患有持续性左室性心动过速，对洋地黄和胺碘酮无效。通过电生理研究确诊。静脉注射维拉帕米成功控制了心律失常。口服维拉帕米后，患者在7年10个月的随访期内一直无症状。
