双室变异型致心律失常性右室心肌病1例  

Biventricular variant arrhythmogenic right ventricular cardiomyopathy-one case report

作　　者：肖栋 叶良海 陈若诗 李穗吉 XIAO Dong;YE Lianghai;CHEN Ruoshi;LI Suiji(Department of Cardiology,Cardiovascular Hospital Affiliated to Xiamen University,Xiamen,Fujian,361006,China;Department of Imaging,Cardiovascular Hospital Affiliated to Xiamen University;Department of Internal Medicine,Xiamen Chang Gung Hospital)

机构地区：[1]厦门大学附属心血管病医院心内科,福建厦门361006 [2]厦门大学附属心血管病医院影像科 [3]厦门长庚医院内科

出　　处：《临床心血管病杂志》2022年第3期258-260,共3页Journal of Clinical Cardiology

摘　　要：病例资料患者,男,38岁,主因间断气促1个月入院。1个月前起始爬两层楼或平卧时出现气促,休息后或坐起后症状好转,后上述症状间断发作,外院查肌钙蛋白阴性,心电图示窦性心动过速,频发室性期前收缩,心脏超声示左室射血分数(LVEF)43%,全心增大,弥漫性室壁运动减弱,为进一步诊治于2020-12-02就诊我院。既往吸烟7年。否认糖尿病、长期饮酒病史。患者的小姨有“心律失常右心扩大病史”。体检:生命征正常,心界扩大,向左下扩大为著。入院后查肌钙蛋白正常,N端-B型钠尿肽2707pg/mL,心电图示窦性心动过速,右胸导联(V1~V3)T波倒置,可见Epsilon波(图1)。肺CT无异常。A 38-year-old male patient was admitted to hospital with shortness of breath 1 month after exercise. Holter electrocardiogram showed sinus tachycardia, frequent premature ventricular tachycardia, and paroxysmal ventricular tachycardia. Echocardiography showed whole-heart enlargement, mainly in the right ventricle. We considered that the patient had arrhythmogenic right ventricular cardiomyopathy. He was discharged from the hospital after drug treatment. No adverse cardiovascular events occurred during the 8-month follow-up.

关 键 词：致心律失常性右室心肌病 双室变异 

分 类 号：R541.7[医药卫生—心血管疾病]