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1例酷似急性心肌炎的致心律失常性右室心肌病/发育不良

杨颖 刘利 蒋冰蕾

川北医学院学报2017,Vol.32Issue(6):835-838,4.
川北医学院学报2017,Vol.32Issue(6):835-838,4.DOI:10.3969/j.issn.1005-3697.2017.06.007

1例酷似急性心肌炎的致心律失常性右室心肌病/发育不良

Fulminant variant of arrhythmogenic right ventricular cardiomyopathy/dysplasia mimicking acute myocarditis

杨颖 1刘利 2蒋冰蕾3

作者信息

  • 1. 川北医学院附属医院心内科,四川南充637000
  • 2. 川北医学院附属医院老年科,四川南充637000
  • 3. 川北医学院附属医院心脏超声科,四川南充637000
  • 折叠

摘要

Abstract

Arrhythmogenic right ventricular cardiomyopathy/dysplasia is a heart disease in which right ventricular myocardium is replaced by fibrous adipose tissue.This paper reports a case of young female patient who was hospitalized for palpitation 7 days,diarrhea 1 d.The electrocardiogram results of the woman showed that ventricular tachycardia and myocardial injury index in plasma was increased.The diagnosis made on admission was acute severe myocarditis.Then,we found that electrocardiogram indicated that electrocardiogram indicated Epsilon wave can be seen in chest leads.Cardiac imaging revealed enlarged right heart and low density fat shadow in the right ventricle,while left ventricular shape and function were normal.At the time of discharge,the patient was diagnosed with arrhythmogenic right ventricular cardiomyopathy.This case suggests that we should have multiple etiological considerations for right ventricular enlargement,myocardial damage,and ventricular tachycardia.

关键词

致心律失常性右室心肌病/急性心肌炎/肌钙蛋白

Key words

Arrhythmogenic right ventricular cardiomyopathy/Acute myocarditis/Troponin

分类

医药卫生

引用本文复制引用

杨颖,刘利,蒋冰蕾..1例酷似急性心肌炎的致心律失常性右室心肌病/发育不良[J].川北医学院学报,2017,32(6):835-838,4.

基金项目

国家自然科学基金青年基金项目(81700417) (81700417)

川北医学院学报

OACSTPCD

1005-3697

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