伴有心室节律失常的合性年节断裂:一个案例报告
Oumaima Taoussi1, Hajar Rabii2, Soukaina Scadi1
1Cardiology, Mohammed VI International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, MAR.
Cureus
|January 16, 2026
概括
中心环状断层 (MAD) 是一种心脏异常,可以导致心室节律失常. 心脏MRI对于诊断MAD和指导治疗以预防心脏突然死亡至关重要.
科学领域:
- 心脏病学 心脏病学
- 心脏成像 - - 心脏成像
- 电子生理学 电子生理学
背景情况:
- 中心环状断裂 (MAD) 是一种未被认可的结构性心脏异常.
- MAD越来越多地与心室节律失常和心脏突然死亡有关.
研究的目的:
- 报告心室低心率病例的次要部位环状断裂.
- 突出心脏磁共振成像 (CMR) 在诊断MAD和相关心律失常基质中的作用.
主要方法:
- 一个病人的病例报告呈现出心和非持续的腹腔动脉低心率.
- 诊断工作包括12导电图,冠状动脉血管学和心脏磁共振成像 (CMR).
主要成果:
- 冠状动脉扫描显示冠状动脉正常.
- CMR证实了额头环状断裂 (MAD) 并确定了焦点 papillary 肌肉纤维化,一种不律性基质.
- 左心室缩功能被保留,没有缺血或心肌炎的证据.
结论:
- 在患有心室心律不整和冠状动脉正常的患者中,应考虑MAD.
- 多模式成像,特别是CMR,对于识别MAD,评估风险和指导管理至关重要.
- 早期识别和管理MAD可以降低心脏不良事件的风险.
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