老而不虚:奎尼丁成功治疗冠心病难治性多形性室性心动过速2例

Q4 Medicine

Journal of the Hong Kong College of Cardiology Pub Date : 2023-01-28 DOI:10.55503/2790-6744.1496

Tit-Kei Ng, Tommy King-Him Ma, Chi-Chun Au, Janice Woon-Yan Wong, Jenny Nga-Lai Chow, A. V. Li, Adrian Yin-Cheung Luk, Sze-Wah Lai, Candy Ming-Yan Cheuk, Jaclyn Chan, L. Tam

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引用次数: 0

摘要

由损伤的浦肯野纤维引发的心肌梗死后多态性室性心动过速（VT）可导致VT风暴，即使在成功再灌注或血运重建后，这种风暴也难以接受各种治疗。我们报告了两名心肌梗死后患者经皮冠状动脉介入治疗后复发的多态性室性心动过速。他们两人对奎尼丁反应都很快。我们还讨论了这种心律失常的病理生理学和治疗方案，即导管消融和抗心律失常药物

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Old but not Vain : Two Cases of Refractory Polymorphic Ventricular Tachycardia associated with Coronary Artery Disease successfully treated with Quinidine

Post-myocardial infarction polymorphic ventricular tachycardia (VT) triggered by injured Purkinje ﬁ bres can cause VT storms that are refractory to various treatment even after successful reperfusion or revascularization. We report recurrent polymorphic VT in two post-myocardial infarction patients after percutaneous coronary intervention. Both of them responded readily to Quinidine. We also discussed the pathophysiology of this arrhythmia and the treatment options for it, namely catheter ablation and anti-arrhythmic drugs

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来源期刊

Journal of the Hong Kong College of Cardiology Medicine-Cardiology and Cardiovascular Medicine

CiteScore

0.30

自引率

0.00%

发文量

期刊介绍： The Journal of the Hong Kong College of Cardiology publishes peer-reviewed articles on all aspects of cardiovascular disease, including original clinical studies, review articles and experimental investigations. As official journal of the Hong Kong College of Cardiology, the journal publishes abstracts of reports to be presented at the Scientific Sessions of the College as well as reports of the College-sponsored conferences.