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中华心脏与心律电子杂志 ›› 2025, Vol. 13 ›› Issue (04) : 242 -245. doi: 10.3877/cma.j.issn.2095-6568.2025.04.007

病例报告

源于左后分支的室性心动过速诱发心动过速性心肌病一例
郑宁宁, 陈忆缘, 薛枫(), 张方芳, 凌琳, 蒋廷波   
  1. 215006 苏州,苏州大学附属第一医院心血管内科
  • 收稿日期:2025-06-30 出版日期:2025-12-25
  • 通信作者: 薛枫
  • 基金资助:
    苏州大学民口横向科研项目(H241068)

A case of tachycardia-induced cardiomyopathy caused by ventricular tachycardia originating from the left posterior fascicle

Ningning Zheng, Yiyuan Chen, Feng Xue(), Fangfang Zhang, lin Ling, Tingbo Jiang   

  1. Department of Cardiology, The First Affiliated Hospital of Soochow University, Suzhou 215006, China
  • Received:2025-06-30 Published:2025-12-25
  • Corresponding author: Feng Xue
引用本文:

郑宁宁, 陈忆缘, 薛枫, 张方芳, 凌琳, 蒋廷波. 源于左后分支的室性心动过速诱发心动过速性心肌病一例[J/OL]. 中华心脏与心律电子杂志, 2025, 13(04): 242-245.

Ningning Zheng, Yiyuan Chen, Feng Xue, Fangfang Zhang, lin Ling, Tingbo Jiang. A case of tachycardia-induced cardiomyopathy caused by ventricular tachycardia originating from the left posterior fascicle[J/OL]. Chinese Journal of Heart and Heart Rhythm(Electronic Edition), 2025, 13(04): 242-245.

本研究报道1例24岁女患者,反复心悸2个月,伴左心室收缩功能显著减退[左心室射血分数(LVEF)为22%]、腹水、胸腔积液。经电生理检查诊断为左后分支型室性心动过速诱发的心动过速性心肌病,行射频消融术,术后1周LVEF恢复至48%,随访1个月后LVEF回升至58%。

图1 室性心动过速发作期间心电图
图2 左后分支型室性心动过速消融靶点(红色箭头)
图3 消融后室性心动过速消失
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