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青年晕厥患者皮下植入心脏事件记录仪排除心源性晕厥一例

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摘要 患者男,28岁,因"1月内晕厥3次"入院,伴四肢抽搐,牙关紧闭及凝视,呼之不应。心电图检查提示左室高电压、完全性右束支传导阻滞、广泛T波倒置,心肌标志物异常,动态脑电图轻度不正常,余常规检查均正常。程序电生理检查诱发出宽QRS波心动过速,不排除心律失常引起的晕厥,遂皮下植入心脏事件记录仪(ILR)以进一步明确晕厥原因。随访3年,患者无严重心动过缓和心动过速发生,抗癫痫治疗下未再发生晕厥,考虑其症状为癫痫所致,遂取出ILR。
出处 《中国心脏起搏与心电生理杂志》 2020年第4期406-408,共3页 Chinese Journal of Cardiac Pacing and Electrophysiology
基金 国家自然科学基金(81400253) 上海市浦东新区卫生和健康委员会项目(PW2019D-1) 上海市浦东新区临床高峰学科项目(PWYgf2018-02)。
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