A case of idiopathic ventricular fibrillation with incomplete right bundle branch block and persistent ST segment elevation.
A case of idiopathic ventricular fibrillation with incomplete right bundle branch block and persistent ST segment elevation.
复制标题
伴有不完全性右束支传导阻滞和持续性 ST 段抬高的特发性室颤一例。
DOI：
10.1536/ihj.34.661
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发表时间：
1993
期刊：
影响因子：
--
通讯作者：
H. Yamaguchi
中科院分区：
文献类型：
--
作者：
M. Sumiyoshi;Y. Nakata;T. Hisaoka;S. Ogura;Y. Nakazato;S. Kawai;R. Okada;H. Yamaguchi
我们报告一个42岁的男性谁患有心室颤动（VF）没有明显的QT间期延长的情况。他的心电图显示不完全性右束支分支传导阻滞（IRBBB）和窦性心律时右胸导联持续ST段抬高。心导管检查显示除左心室中度内膜和内膜下纤维化外，无明显心脏病。精神压力似乎触发VF，ST段抬高在VF之前变得突出。普萘洛尔和美西律已有效预防VF超过3年。
We report the case of a 42-year-old male who suffered from ventricular fibrillation (VF) without obvious QT prolongation. His electrocardiogram showed incomplete right bundle branch block (IRBBB) and persistent ST segment elevation in the right precordial leads during sinus rhythm. Cardiac catheterization revealed no overt heart disease except moderate endocardial and subendocardial fibrosis in the left ventricle. Mental stress seemed to trigger VF, and ST elevation became prominent just before VF. Propranolol and mexiletine have been effective in preventing VF for over 3 years.