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Ventricular fibrillation a rare complication during head-up tilt test.心室颤动是头高位倾斜试验期间一种罕见的并发症。
HeartRhythm Case Rep. 2015 Jul 7;1(5):363-365. doi: 10.1016/j.hrcr.2015.06.012. eCollection 2015 Sep.

由无症状性缺血引起反复晕厥的自发性终止室颤和心搏停止。

Spontaneously terminating ventricular fibrillation and asystole induced by silent ischaemia causing recurrent syncope.

作者信息

Mustafa M U, Baker C S, Stephens J D

机构信息

Cardiology Department, Old Church Hospital, Romford, UK.

出版信息

Heart. 1998 Jul;80(1):86-8. doi: 10.1136/hrt.80.1.86.

DOI:10.1136/hrt.80.1.86
PMID:9764067
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1728757/
Abstract

A 57 year old man was admitted for investigation of recurrent syncopal attacks. Holter monitoring during an attack while in hospital revealed a unique sequence of gross ST segment elevation, ventricular tachycardia, prolonged ventricular fibrillation, asystole, junctional and ventricular escape rhythm, and finally spontaneous restoration of sinus rhythm with severe ST segment depression. Subsequent coronary arteriography demonstrated severe stenoses of the right coronary artery, prompting percutaneous transluminal angioplasty and stenting. The patient has had no further syncopal attacks.

摘要

一名57岁男性因反复晕厥发作入院检查。住院期间发作时进行动态心电图监测显示出一系列独特表现，包括显著ST段抬高、室性心动过速、长时间心室颤动、心搏停止、交界性及室性逸搏心律，最终窦性心律自发恢复并伴有严重ST段压低。随后的冠状动脉造影显示右冠状动脉严重狭窄，遂行经皮腔内血管成形术及支架置入术。该患者此后未再出现晕厥发作。