关键词: catheter ablation-ventricular tachycardia electrophysiology-cardiac arrest/sudden death electrophysiology-long QT syndrome noninvasive techniques-Holter/event recorders ventricular tachycardia/fibrillation

Mesh : Humans Female Adolescent Torsades de Pointes / diagnosis etiology Electrocardiography Arrhythmias, Cardiac Long QT Syndrome Tachycardia, Ventricular / diagnosis etiology

来  源:   DOI:10.1111/jce.16164

Abstract:
BACKGROUND: We report the case of an 18-year-old female with recurrent syncope that was discovered to have congenital long QT syndrome (LQTS) and episodes of a transiently short QT interval after spontaneous termination of polymorphic ventricular tachycardia.
RESULTS: A cardiac event monitor revealed a long QT interval and initiation of polymorphic ventricular tachycardia by a premature ventricular complex on the preceding T-wave. After 1 minute of ventricular fibrillation, her arrhythmia spontaneously terminated with evidence of a short QT interval.
CONCLUSIONS: A transient, potentially artificial, short QT interval following Torsades de Pointes can occur in patients with LQTS.
摘要:
背景:我们报道了一例18岁女性复发性晕厥的病例,该病例被发现患有先天性长QT综合征(LQTS),并在多形性室性心动过速自发终止后出现短暂的短QT间期。
结果:心脏事件监测仪显示QT间期较长,前T波有室性早搏引起多形性室性心动过速。心室纤颤1分钟后,她的心律失常因QT间期短而自发终止.
结论:短暂的,潜在的人工,在LQTS患者中可以发生扭转点扭转后的短QT间期。
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