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室性心动过速的遗传学

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摘要 由于分子生物学及功能性研究的不断进展,家族遗传性心律失常的病因已逐渐明晰,跨膜或细胞内离子通道的基因突变已经在遗传决定的多形性室速和猝死如儿茶酚胺源性室速、长QT综合征、Brugada综合征中被证实。由于不遵循孟德尔遗传法则,分子水平的异常在单形性室速发病中所起的作用目前尚未明确。但有趣的是,右室流出道单形性室速患者存在体细胞的基因突变,并被认为是此种室速的主要机制。今后利用分子遗传方法控制心律失常的目标是利用此项技术将患者的危险性进行更好地分层,并确定针对特发性室速特异靶基因的治疗。
出处 《世界医学杂志》 2003年第2期6-10,共5页 International Journal of Medicine
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  • 1Lerman BB. Stein KM, Markowitz SM, Mittal S, Slotv, iner DJ: Ventricular tachycardia in patients with structurally normal heart. In Cardiac Electrophysiology. From Cell to Bedside. Edited by Zipes DP, Jalife J. Philadelphia:WBSaunders Co.; 2000: 640-656.
  • 2Miles WM: Idiopathic ventricular outflow tract tachycardia: where does it originate? J Cardiovasc Electrophysiol 2001, 12: 536-537.
  • 3Napolitano C. Priori SG, Schwartz P J: Torsade de pointes. Mechanisms and management. Drugs 1994, 47: 51-65.
  • 4Coumel P, Fidelle J, Lucet V, et al.: Catecholaminergic-induced severe ventricular arrhythmias with Adams-Stokes syndrome in children: report of four cases. Br Heart J 1978, 40: 28-37.
  • 5Leenhardt A, Glaser E, Burguera M, et al.: Short-coupled variant of torsade de pointes. A new electrocardiographic entity in the spectrum of idiopathic ventricular tachyarrhythmias. Circulation 1994, 89: 206-215.
  • 6Schwartz P J, Priori SG, Napolitano C: The long QT syndrome. In Cardiac Electrophysiology. From Cell to Bedside. Edited by Zipes DE Jalife J. Philadelphia: WB Saunders Co.; 2000: 597-615.
  • 7Brugada P, Brugada J: Right bundle branch block, persistent ST segment elevation and sudden cardiac death: a distinct clinical and electrocardiographic syndrome.A multicenter report. J Am Coil Cardiol 1992, 20: 1391-1396.
  • 8Leenhardt A, Lucet V, Denjoy 1, et al.: Catecholaminergic polymorphic ventncular tachycardia in children. A 7-year follow-up of 21 patients. Circulation 1995, 91: 1512-1519.
  • 9Fisher JD, Krikler D, Hallidie-Smith KA: Familial polymorphic ventricular ar-rhythmias: a quarter century of successful medical treatment based on serial exercise-pharmacologic testing. J Am Coil Cardiol 1999, 34: 2015-2022.
  • 10Priori SG, Napolitano C, Colombo B, et al.: Mutations of the cardiac ryanodine receptor (RyP,2) gene are associated to heterogeneous clinical phenotypes and high lethality. Circulation 2001, 104 (suppl 2): 335.

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