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A patient with "atrial torsades de pointes"
被引:26
作者:
Kirchhof, P
Eckardt, L
Mönnig, G
Johna, R
Loh, P
Schulze-Bahr, E
Breithardt, G
Borggrefe, M
Haverkamp, W
机构:
[1] Univ Munster, Dept Cardiol & Angiol, D-4400 Munster, Germany
[2] Univ Munster, Inst Arteriosclerosis Res, D-4400 Munster, Germany
关键词:
long QT syndrome;
torsades de pointes;
atrial fibrillation;
monophasic action potential;
early afterdepolarization;
dispersion of repolarization;
D O I:
10.1111/j.1540-8167.2000.tb00052.x
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
A patient with long QT syndrome and a history of palpitations underwent electrophysiologic study, Runs of polymorphic self-terminating atrial tachyarrhythmias were easily induced and occurred spontaneously several times. Atrial monophasic action potential (MAP) durations were prolonged at short pacing cycle lengths. Premature high right atrial extrastimuli prolonged MAP durations in the low right atrium, resulting in an inverse electrical restitution curve, and increased dispersion of repolarization, MAP morphology showed gradually increasing early afterdepolarizations. When the arrhythmia was initiated, a new action potential reproducibly emerged from these afterdepolarizations. To the knowledge of the authors, this is the first reported case of "atrial torsades de pointes" in a patient.
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页码:806 / 811
页数:6
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