冠状动脉严重三支病变合并顽固性室性心律失常1例  

Severe three-vessel coronary disease complicated with intractable ventricular arrhythmias:one case report

作　　者：卢毅[1] 马金玉 刘培晶[1] 严金川[1] 孙涛[1] 李卫东[1] 梁仪[1] 金鸣锋[1] LU Yi;MA Jinyu;LIU Peijing;YAN Jinchuan;SUN Tao;LI Weidong;LIANG Yi;JIN Mingfeng(Department of Cardiology,Affiliated Hospital of Jiangsu University,Zhenjiang,Jiangsu,212001,China)

机构地区：[1]江苏大学附属医院心血管内科,江苏镇江212001

出　　处：《临床心血管病杂志》2018年第9期935-938,共4页Journal of Clinical Cardiology

基　　金：国家自然科学基金(No:81400208);镇江市心血管病重点实验室(No:SS2012002)

摘　　要：1病例资料患者,男,56岁,因＂反复右上腹胀痛2年＂于2015年4月21日拟诊为＂胆囊结石伴胆囊炎＂收入我院普外科。入院后全胸片示心影增大;心脏超声示左房内径42mm,左室舒张末期内径65mm,收缩末期内径53mm,右房、右室大小均正常,左室射血分数（LVEF）36%;经会诊后转入心内科。追溯病史：患者近1年活动时有胸闷、气短,无胸痛、晕厥,可完成日常活动。Severe three-vessel coronary disease is common in coronary heart disease,which can cause chronic heart failure and ventricular arrhythmias.The treatment becomes considerably more difficult when complicated with ventricular electrical storm.Drug,radiofrequency catheter ablation（RFCA）and implantable cardioverter defibrillator（ICD）are of great importance,and total arterial revascularization in the way of percutaneous coronary intervention（PCI）is significantly essential.

关 键 词：严重冠状动脉三支病变 顽固性心律失常 心室电风暴 慢性心力衰竭 

分 类 号：R541.7[医药卫生—心血管疾病]