摘要
在2例新生儿中发现了快速型室性心律(AVR)。第1例在胎儿期发生心律失常。2例新生儿都无症状,而且无心脏病的证据。心律失常最终分别在婴儿4个月和24d时消失。本文对胎儿期AVR进行了综述,并对最新的有关正确诊断的评价。
Accelerated ventricular rhythm (AVR) was observed in two newborn infants. In the first case, arrhythmia was noted during the foetal period. Both neonates were asymptomatic and had no evidence of cardiac disease. The arrhythmia eventually disappeared when the infants were 4 mo and 24 d old, respectively. AVR in the neonatal period is reviewed in this report and recent information regarding appropriate diagnostic evaluation, differentiation from ventricular tachycardia and treatment is outlined. Conclusion: Accelerated ventricular rhythm is a benign and self-limited arrhythmia in the neonatal period. However, it is important to differentiate it from other serious rhythm disorders, mainly ventricular tachycardia, in order to avoid unnecessary and potentially harmful treatment and to relieve parental anxiety.
