三尖瓣环引起的房性心动过速消融后心功能的恢复。

Leonardo Calò, Luigi Sciarra, Roberto Scioli, Filippo Lamberti, Maria Luisa Loricchio, Claudio Pandozi, Massimo Santini
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引用次数: 0

摘要

心动过速引起的心肌病是一种可逆的心衰形式。早期诊断和有效治疗潜在的心动过速是一个有利的结果至关重要。不同类型的心房和室性心律失常均可诱发心动过速。局灶性房性心动过速可以很容易地通过经导管消融来抑制。局灶性房性心动过速与心肌病的关系尚未深入分析。在本文中,我们报告一个病例76岁的男子心动过速诱发心肌病引起的复发局灶性心房心动过速起源于三尖瓣环。经导管消融治疗心律失常成功。随访无心律失常复发,心肌功能明显改善。
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Recovery of cardiac function after ablation of atrial tachycardia arising from the tricuspid annulus.

Tachycardia-induced cardiomyopathy is a reversible form of heart failure. An early diagnosis and an effective cure of the underlying tachycardia are crucial for a favorable outcome. Different kinds of atrial and ventricular arrhythmias may induce tachycardiomyopathy. Focal atrial tachycardia may be easily suppressed by means of transcatheter ablation. Relationships between focal atrial tachycardia and tachycardiomyopathy have not been deeply analyzed. In the present paper we report a case of a 76-year-old man with tachycardia-induced cardiomyopathy caused by recurrences of focal atrial tachycardia arising from the tricuspid annulus. The arrhythmia was successfully treated with transcatheter ablation. In the follow-up no recurrences of the arrhythmia occurred and a significant improvement in myocardial function was observed.

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