作为慢性心肾综合征一种表现的加速性特发性室性心律:病例报告

IF 1.1 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Annals of Noninvasive Electrocardiology Pub Date : 2024-06-25 DOI:10.1111/anec.13131
Kotzadamis Dimitrios MD, MSc, Gkroumtsia Evangelia MD, MSc, Papadopoulos Christodoulos MD, PhD, FESC, Vassilikos Vassilios MD, PhD, FESC, FACC
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引用次数: 0

摘要

在本病例报告中,我们描述了一名长期出现尿毒症症状和体征、心电图显示持续性加速性特发性室性心律(AIVR)的患者。血液化验、超声心动图、肾脏超声波和肾脏扫描的结果均提示存在射血分数降低的心力衰竭和慢性肾脏疾病,每天进行血液透析后恢复了窦性心律。通常情况下,AIVR 的预后良好,如有必要,医疗干预的重点是解决潜在的致病原因。尿毒症毒素的积累有可能引发 AIVR 的形成,而通过常规血液透析清除小溶质可能有助于恢复窦性心律。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Accelerated idioventricular rhythm as a manifestation of chronic renocardiac syndrome: A case report

In this case report, we describe a patient who presented with chronic symptoms and signs of uremia and persistent accelerated idioventricular rhythm (AIVR) on electrocardiogram. Findings from blood tests, echocardiography, renal ultrasound, and renal scan were suggestive of heart failure with reduced ejection fraction and chronic kidney disease, and attendance of daily hemodialysis sessions led to the restoration of sinus rhythm. Typically, AIVR has a favorable prognosis and, if necessary, medical intervention focuses on addressing the underlying responsible causes. Accumulation of uremic toxins has the potential to trigger the formation of AIVR and clearance of small solutes through conventional hemodialysis may contribute to sinus rhythm restoration.

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来源期刊
CiteScore
3.40
自引率
0.00%
发文量
88
审稿时长
6-12 weeks
期刊介绍: The ANNALS OF NONINVASIVE ELECTROCARDIOLOGY (A.N.E) is an online only journal that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. ANE is the first journal in an evolving subspecialty that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. The publication includes topics related to 12-lead, exercise and high-resolution electrocardiography, arrhythmias, ischemia, repolarization phenomena, heart rate variability, circadian rhythms, bioengineering technology, signal-averaged ECGs, T-wave alternans and automatic external defibrillation. ANE publishes peer-reviewed articles of interest to clinicians and researchers in the field of noninvasive electrocardiology. Original research, clinical studies, state-of-the-art reviews, case reports, technical notes, and letters to the editors will be published to meet future demands in this field.
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