儿童心动过速性心肌病  

Tachycardia - induced cardiomyopathy in children

作　　者：韩晓华[1] 王凤[1] 吴琳[1] 

机构地区：[1]复旦大学附属儿科医院心血管中心,上海201102

出　　处：《中华实用儿科临床杂志》2017年第1期72-74,共3页Chinese Journal of Applied Clinical Pediatrics

基　　金：上海市卫生和计划生育委员会面上项目（201440631）

摘　　要：持续或反复发作的心动过速可导致心动过速性心肌病，表现为心脏扩大和心力衰竭。心律失常控制后，心肌功能失常可完全或部分恢复。此类疾病可发生于任何年龄段，是一种可逆的继发性心肌病，总体预后良好，但其在临床实践中常不被大多数儿科医师所认识。现对儿童心动过速性心肌病临床诊断标准、发病机制、疾病特征、治疗手段及预后进行总结，旨在为临床医师早期识别与规范化治疗儿童心动过速性心肌病提供依据。Tachycardia- induced cardiomyopathy （TIC） is defined as a kind of cardiomyopathy with cardiac dilatation and dysfunction secondary to sustained or recurrent tachyarrhythmia. Myocardial dysfunction can wholly or partially recover after control of the responsible tachyarrhythmia. TIC, a reversible acquired cardiomyopathy with generally benign prognosis ,can occur at any age ;however,it often proves to be unrecognized by most of pediatricians in clinical practices. Now, the clinical criteria, pathogenesis, characteristics, therapy and prognosis of pediatric TIC were summarized, so as to provide a clinical basis for early recognition and prompt therapy.

关 键 词：心动过速性心肌病 快速型心律失常 儿童 

分 类 号：R725.4[医药卫生—儿科]