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Ventricular Fibrillation Induced by Coronary Vasospasm in a Patient with Early Repolarization and Hyperthyroidism

机译:早期复极化和甲状腺功能亢进症患者的冠状动脉痉挛引起的心室纤颤

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摘要

Vasospastic angina (VSA) has been recognized as a cause of ventricular fibrillation (VF) degenerating into sudden cardiac death. We experienced a case of VSA with hyperthyroidism in which VF was provoked with an augmented J-wave amplitude in the inferior leads. The patient underwent insertion of an implantable cardioverter-defibrillator for the secondary prevention of VF in addition to taking Ca-channel antagonists. He has shown no recurrence of fatal arrhythmia or anginal attack for a follow-up period of one year.
机译:血管痉挛性心绞痛(VSA)已被认为是导致心室纤颤(VF)退化为猝死的原因。我们经历了一例伴有甲亢的VSA,其中VF引起下引线J波振幅增大。除服用钙通道拮抗剂外,患者还接受了植入式心脏复律除颤器的插入,以辅助预防室颤。在一年的随访期间,他没有显示出致命性心律失常或心绞痛发作的复发。

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