儿童心律失常性心肌病研究进展  

Research Progress on Arrhythmia-Induced Cardiomyopathy in Children

作　　者：柯思思 张勇[2] KE Sisi;ZHANG Yong(School of Medicine,Wuhan University of Science and Technology,Wuhan 430070,Hubei,China;Wuhan Children's Hospital(Wuhan Maternal and Child Health Care Hospital),Tongji Medical College,Huazhong University of Science&Technology,Wuhan 430016,Hubei,China)

机构地区：[1]武汉科技大学医学院,湖北武汉430070 [2]华中科技大学同济医学院附属武汉儿童医院(武汉市妇幼保健院),湖北武汉430016

出　　处：《江汉大学学报（自然科学版）》2023年第6期54-62,共9页Journal of Jianghan University：Natural Science Edition

基　　金：湖北省科技厅自然科学基金面上项目(2019CFB783)。

摘　　要：心律失常性心肌病(AIC)是一种由心律失常引起的继发性心肌病,表现为心室扩大、心功能不全,在心律失常控制后心功能可得到部分或完全逆转。心律失常在儿童中不易被发现,因此,儿童心律失常性心肌病的发病率可能被低估。本病通常在心律失常控制后心功能可得到部分或完全缓解。药物和手术治疗是治疗各类心律失常性心肌病的常见治疗手段。早期诊断和及时治疗对改善其预后具有重要意义。本文围绕AIC的诸多类型总结国内外文献,对流行病学、定义、发病机制、临床症状、诊断和最新治疗手段等做了系统介绍,并对目前国内外的治疗手段进行了讨论。Arrhythmia-induced cardiomyopathy(AIC)is a kind of cardiomyopathy caused by sustained or recurrent arrhythmias,the main clinical manifestations of which are cardiac dilatation and cardiac dysfunction,and blockade arrhythmia could result in partial or complete resolution of the left ventricular ejection fraction.Arrhythmia is hard detected in children,therefore the epidemiology of AIC may be underestimated.Arrhythmias blockade could result in partial or complete resolution of the left ventricular ejection fraction.Both drug therapy and catheter ablation are standard treatment that have been used to treat AIC.Early diagnosis and reasonable treatment are significant to improve the prognosis.This paper summarized domestic and foreign literature on the various types of AIC,systematically reviewed the epidemiology,definition,pathogenesis,clinical symptoms,diagnosis,and the latest treatment methods,and discussed the current treatment at home and abroad.

关 键 词：心律失常 儿童 心肌病 

分 类 号：R725.4[医药卫生—儿科]