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室性心动过速:一名患有先天性矫正型大动脉转位患者的危及生命的心律失常。

Ventricular tachycardia: a life-threatening arrhythmia in a patient with congenitally corrected transposition of the great arteries.

作者信息

Fontaine J M, Kamal B M, Sokil A B, Wolf N M

机构信息

Allegheny University of the Health Sciences, The Medical College of Pennsylvania and Hahnemann University School of Medicine, Philadelphia 19129, USA.

出版信息

J Cardiovasc Electrophysiol. 1998 May;9(5):517-22. doi: 10.1111/j.1540-8167.1998.tb01845.x.

Abstract

Ventricular tachycardia (VT) is an uncommon finding in patients with congenitally corrected transposition of the great arteries (CCTGA). Cardiac death in patients with CCTGA has been attributed to complete heart block, systemic ventricular dysfunction, or severe AV valve regurgitation with heart failure. We describe the case of a patient who presented with palpitations and near-syncope that was associated with clinical episodes of VT. Programmed ventricular stimulation revealed easily inducible sustained VT that immediately degenerated to ventricular fibrillation and subsequently required therapy with an implantable cardioverter defibrillator.

摘要

室性心动过速(VT)在先天性矫正型大动脉转位(CCTGA)患者中并不常见。CCTGA患者的心脏性死亡归因于完全性心脏传导阻滞、体循环心室功能障碍或伴有心力衰竭的严重房室瓣反流。我们描述了一名患者的病例,该患者出现心悸和接近晕厥,与VT临床发作相关。程控心室刺激显示易于诱发持续性VT,其立即恶化为心室颤动,随后需要植入式心脏复律除颤器治疗。

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