顽固性斯托克斯-亚当斯发作伴无数室性心律失常伴急性心肌炎

M. Kaur, Prema Bezwada, C. Ayala-Rodriguez
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引用次数: 0

摘要

痉挛性晕厥有时很难与癫痫发作区分开来。误诊会导致不必要的,而且通常不成功的抗癫痫药物治疗。详细的病史记录和体格检查以及持续的心脏监测有助于做出正确的诊断。我们的病人最终被发现患有病毒性心肌炎。在病毒性心肌炎的治疗中,需要更详细地研究无创心脏检查(如心脏MRI (CMR))和较新的治疗方式(如抗胸腺细胞免疫球蛋白)的作用。
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Intractable stokes adams attack with myriad of ventricular arrythmias masquerading acute myocarditis
Convulsive syncope can be difficult to distinguish from seizures at times. Misdiagnosis can result in unnecessary, and usually unsuccessful, treatment with antiepileptic drugs. A detailed history taking and physical examination along with continuous cardiac monitoring can help in making the correct diagnosis. Our patient was eventually found to have viral myocarditis. Moredetailed studies for the role of noninvasive cardiac testing such as Cardiac MRI (CMR) and newer treatment modalities such as anti-thymocyte immunoglobulin are required for the management of Viral Myocarditis.
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