关键词: catecholaminergic long qt polymorphic ventricular tachycardia ryanodine receptor seizure sudden cardiac arrest catecholaminergic long qt polymorphic ventricular tachycardia ryanodine receptor seizure sudden cardiac arrest

来  源:   DOI:10.7759/cureus.27806   PDF(Pubmed)

Abstract:
Catecholaminergic polymorphic ventricular tachycardia (CPVT) is an inherited, highly malignant cardiac channelopathy that causes autopsy-negative sudden deaths and sudden infant deaths. The symptoms of CPVT range from asymptomatic to syncopal. We present a patient who has had sporadic seizures for the last four years and was diagnosed with focal seizures. Genetic testing revealed heterozygosity for a variant of uncertain significance in the cardiac ryanodine receptor (RYR2). Pathogenic variants are known to be associated with CPVT. A subcutaneous implantable cardioverter-defibrillator (ICD) was placed and is being closely followed in the cardiology clinic.
摘要:
儿茶酚胺能多形性室性心动过速(CPVT)是一种遗传性,导致尸检阴性猝死和婴儿猝死的高度恶性心导管病。CPVT的症状范围从无症状到晕厥。我们介绍了一名患者,该患者在过去四年中出现了散发性癫痫发作,并被诊断为局灶性癫痫发作。遗传测试显示,心脏ryanodine受体(RYR2)中具有不确定意义的变体的杂合性。已知致病变异与CPVT相关。放置了皮下植入式心脏复律除颤器(ICD),并在心脏病学诊所中受到密切关注。
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