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致心律失常性右室发育不全(arrhythmogenicright ventricular dysplasia,ARVD)是一种较少见的疾病,其突出特点为右室肌层发育不全伴有反复发作性左束支传导阻滞型室性心动过速(LBBB型室速).心动过速发作时多需电复律,而用抗心律失常药物往往疗效不佳.我们采用心律平和利多卡因联合静注成功地终止ARVD之持续性室速1例.现报告如下.患者,女,42岁.因反复发作性眩晕、心慌、憋气、晕厥20多年,复发14h再次来我院诊治.主诉:20多年来,常于剧烈体力劳动或情绪激动时发作心悸、憋气、头晕、无力,曾发生3次晕厥.心悸每次持续10~30min,经休息后可缓解,每年发作3~5次不等.2年
Arrhythmogenic right ventricular dysplasia (arrhythmogenicright ventricular dysplasia, ARVD) is a rare disease, which is characterized by the prominent right ventricular dysplasia associated with recurrent left bundle branch block heart-type ventricular tachycardia (LBBB VT) .There is a need for electrical cardioversion in the onset of tachycardia and poor efficacy with antiarrhythmic drugs.We have successfully discontinued the ARV sustained ventricular tachycardia 1 Cases. The report is as follows .Patients, female, aged 42. Due to recurrent dizziness, palpitation, suffocation, syncope for 20 years, recurrence 14h again to our hospital for diagnosis and treatment .Complain: more than 20 years, often during intense manual labor or emotional Episodes of heart palpitations, suffocation, dizziness, weakness, syncope occurred 3 times. Each palpitations lasting 10 ~ 30min, after the rest can ease, episodes of 3 to 5 times a year. 2 years