揭露不常见的情况:在两种罕见的儿科心肌病症中出现双向腹腔性心力衰竭
Fatma Sevinc Sengul1, Hasan Candas Kafali1, Yakup Ergul1
1Department of Pediatric Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Training and Research Hospital, Istanbul, Turkey.
Cardiology in the young
|October 27, 2023
概括
两名青少年女孩患有罕见的心肌病,左心室非紧缩和心律失常的右心室心肌病,经历了双向心室心力衰竭,这是这些疾病不常见的表现.
科学领域:
- 心脏病学 心脏病学
- 儿童心脏病学 儿童心脏病学
- 遗传学 遗传学 是一个
背景情况:
- 心肌病是一种影响心肌的疾病,通常导致心力衰竭.
- 左心室非紧缩 (LVNC) 和心律失常性右心室心肌病 (ARVC) 是罕见的遗传心肌病,具有明显的临床和病理特征.
- 腹腔动脉短心 (VT) 是心肌病中常见的一种心律失常,但双向静脉短心是一种罕见的,经常涉及的发现.
研究的目的:
- 报告了两个独特的案例,青少年女性被诊断患有罕见心肌病.
- 为了突出这些患者双向腹腔动脉短心的不寻常表现.
- 为了解儿科患者罕见心肌病及其相关心律失常的理解做出贡献.
主要方法:
- 对两名14岁女性患者的病例报告分析.
- 对临床表现的审查,诊断工作 (心声学,MRI,心电图,霍尔特监测) 和遗传检测.
- 分析与双向腹腔动脉动脉障相关的电生理学发现.
主要成果:
- 两位14岁的患者都被诊断出有明显的罕见心肌病:一个患有LVNC,另一个患有ARVC.
- 两人都出现了双向腹腔动心,这是一种罕见的心律失常,在这个年龄通常与这些特定的心肌病症无关.
- 诊断调查证实了各自的心肌病诊断,并阐明了心律失常的基质.
结论:
- 双向心室性心力衰竭可以发生在罕见的儿科心肌病症,如LVNC和ARVC,虽然这是一个不寻常的呈现.
- 早期识别和诊断这些罕见的心肌病及其相关的心律失常对于及时管理和改善青少年的结果至关重要.
- 这些病例强调了在患有复杂心律失常的年轻患者中进行全面心脏评估的重要性.
更多相关视频
10:08Tachycardia-Induced Cardiomyopathy As a Chronic Heart Failure Model in Swine
Published on: February 17, 2018
13.6K
06:57Ablation of Ischemic Ventricular Tachycardia Using a Multipolar Catheter and 3-dimensional Mapping System for High-density Electro-anatomical Reconstruction
Published on: January 31, 2019
14.8K
相关概念视频
01:29Dysrhythmias III: Characteristics of Dysrhythmias
11
Dysrhythmias, also known as arrhythmias, are irregular heart rhythms that result from abnormal electrical activity in the heart, affecting its ability to circulate blood efficiently. Tachyarrhythmias, a subset of dysrhythmias, are characterized by abnormally fast heart rates exceeding 100 beats per minute. Here are some types of tachyarrhythmias with their distinct ECG features:Sinus Tachycardia:Sinus tachycardia presents a regular heart rhythm with an increased rate of 101-180 beats per...
11
01:28Disturbances in Heart Rhythm
977
Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
977
01:18Dysrhythmias IV: Characteristics of Bradyarrhythmias
7
Bradyarrhythmias are cardiac rhythm disorders characterized by a slower-than-normal heart rate, typically defined as fewer than 60 beats per minute. Some of which are discussed here:Sinus BradycardiaSinus bradycardia presents a heart rate lower than 60 beats per minute, with a regular rhythm originating from the SA node. The ECG typically shows normal P waves preceding each QRS complex, a normal PR interval (0.12 to 0.20 seconds), and a normal QRS duration (0.06 to 0.10 seconds).First-Degree AV...
7
01:28Dysrhythmias II: Classification of Tachyarrhythmias
10
Tachyarrhythmias are a type of dysrhythmia where the heart rate exceeds 100 beats per minute. Here are some common types of tachyarrhythmias:Sinus TachycardiaSinus tachycardia originates from increased impulses from the sinus node, leading to an elevated heart rate. It is often triggered by stress, fever, or exercise.Patients may experience palpitations, a sensation of a racing heart, dizziness, and chest discomfort.Causes and Risk Factors: Common causes include physical exertion, emotional...
10
01:25ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias
22
Arrhythmia is a condition characterized by an irregular heart rhythm, with ECG changes that differ based on its origin and nature. The types of arrhythmias discussed below include atrial, junctional, and ventricular arrhythmias.Atrial ArrhythmiasPremature Atrial Complexes (PACs): PACs are early atrial beats caused by stress, caffeine, alcohol, electrolyte imbalances, hypoxia, hyperthyroidism, or certain medications (e.g., bronchodilators and decongestants). The ECG shows early P waves with an...
22
01:28Mechanism of Cardiac Arrhythmias
929
Arrhythmias are irregular heart rhythms occurring when the heart's electrical impulses become abnormal. These disturbances can lead to various symptoms, depending on their severity and the underlying cause. Some common factors contributing to arrhythmias include hypoxia, ischemia, electrolyte imbalances, excessive catecholamine exposure, drug toxicity, and muscle overstretching. Arrhythmias can be classified into two main types based on the rate and site of origin of abnormal heart rhythms.
929