加速性缺血性疾病呈现为心室动.
Nismat Javed1, Vikram Itare1,2, Nisha Ali1,2
1BronxCare Health System, Bronx, NY, USA.
概括
由于缺血,在压力测试期间,即使没有结构性心脏病,心室动 (VF) 也可能发生. 及时诊断和干预对于患者的生存至关重要.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
背景情况:
- 心室动 (VF) 通常与结构性心脏病或急性心肌梗塞 (MI) 相关.
- 冠状动脉炎的危险因素包括冠状动脉疾病,先前的心脏病和特定的心脏病发作模式.
研究的目的:
- 在没有先前存在的结构性心脏病患者的压力测试中报告因缺血引发的VF病例.
- 为了支持这样的假设,仅仅是缺血可以导致VF.
主要方法:
- 一个64岁的男性患有高血压,艾滋病毒和阿片类药物依赖的病例报告.
- 在 dobutamine 压力测试期间监测心电图 (ECG).
- 冠状动脉扫描和随后的冠状动脉旁路手术.
主要成果:
- 患者在压力测试期间开发了VF,尽管没有结构性心脏病史.
- 冠状动脉扫描显示严重的三重血管疾病,表明显著的缺血.
- 在冠状动脉旁路手术后成功的复苏和恢复.
结论:
- 缺血,如果没有结构性心脏病,可以引发心室动.
- 早期检测和侵入性治疗对于改善VF患者的治疗结果至关重要.
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