新生儿室性心动过速2例报告并文献复习

Yoo-ra Jung, Sun Hyang Lee, G. Park, Sung Shin Kim
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引用次数: 1

摘要

对于血流动力学稳定的广泛性复杂心动过速,评估病因,正确诊断,选择合适的治疗方法和药物是至关重要的。我们报告两个新生儿诊断为特发性室性心动过速,这是非常罕见的。一例表现为特发性束状室性心动过速(右束分支阻滞型,上轴),另一例表现为右心室流出道室性心动过速(左束分支阻滞型,下轴)。这两种形式是良性室性心动过速的代表。未观察到心血管休克的特征。虽然推荐的初始药物治疗方法不同,但心得安能很好地控制病情,未发生任何不良事件。门诊几个月无心律失常复发。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ventricular Tachycardia in Neonates: A Report of Two Cases and Review of the Literature
In the case of hemodynamically stable broad complex tachycardia, it is essential to evaluate the causes and to diagnose correctly in the selection of appropriate management and drugs. We report two neonates diagnosed with idiopathic ventricular tachycardia, which is extraordinarily rare. One presented with idiopathic fascicular ventricular tachycardia (right bundle branch block pattern with a superior axis), and the other presented with right ventricular outflow tract ventricular tachycardia (left bundle branch block pattern with an inferior axis). These two forms are representative of benign ventricular tachycardia. No features of cardiovascular shock were observed. While the recommended initial drug treatments are different, the conditions were well controlled by propranolol without the development of any adverse events. There was no recurrence of arrhythmia for several months in the outpatient clinic.
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