在患有布鲁加达综合征的儿童和青少年中使用植入式循环记录器进行持续的节律监测
Marco Bergonti1, Giuseppe Ciconte2, Jose Cruzalegui Gomez3
1Cardiocentro Ticino Institute, Ente Ospedaliero Cantonale, Lugano, Switzerland.
Journal of the American College of Cardiology
|August 28, 2024
概括
在使用植入式循环记录器 (ILR) 的年轻布鲁加达综合征 (BrS) 患者中,持续的节律监测揭示了频繁的非心室节律失常. 勃拉迪心律不整和心房律不整通常会在这些儿科和青少年患者中引起昏.
科学领域:
- 心脏病学 心脏病学
- 儿科电子生理学 儿科电子生理学
背景情况:
- 布鲁加达综合征 (BrS) 在年轻患者 (18岁以下) 中未得到充分研究.
- 在儿科 BrS 患者中昏睡的管理尚不清楚.
研究的目的:
- 使用可植入循环记录器 (ILR) 评估年轻BrS患者心律失常的患病率.
- 在这个人群中确定不确定的起源昏迷的原因.
主要方法:
- 在12个国际中心监测了147名患有ILR的BrS患者 (儿科<12岁,青少年13-18岁).
- 随访时间的中位数为3.6年.
主要成果:
- 在22.4%的患者中发生了心律失常事件,主要是非心室 (心房和胸部心律失常).
- 心室心律不整是罕见的 (4名患者),与自发的1型心电图和发烧有关.
- 真正心律不整的昏迷记录在17.8%的病例中,通常是由于布拉迪心律不整或心房心律不整 (60%).
结论:
- ILR监测有效地检测到年轻BrS患者的各种心律失常.
- 勃拉迪心律不整和心房心律不整是这个年龄组中昏的常见原因.
- ILR植入可能有利于年轻的BrS患者经历不明来源的昏迷.
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