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題 名 | Control of Idiopathic Ventricular Fibrillation by Implantable Cardioverter-Defibrillator in a Child Who Survived Sudden Death=在經歷過猝死的病童以植入性心律轉換器-去顫器控制原發性心室顫動症 |
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作 者 | 林裕誠; 張維典; 陳文鍾; 賴凌平; 林俊立; 吳美環; | 書刊名 | 臺灣醫學會雜誌 |
卷 期 | 99:7 2000.07[民89.07] |
頁 次 | 頁576-579 |
分類號 | 417.62314 |
關鍵詞 | 猝死; 植入性心律轉換器-去顫器; 原發性心室顫動症; 兒童; Sudden cardiac death; Child; Idiopathic ventricular fibrillation; Implantable cardioverter-defibrillator; |
語 文 | 英文(English) |
英文摘要 | Idiopathic ventricular fibrillation (VF) is extremely rare in children who have not previously undergone cardiac surgery. Patients resuscitated from idiopathic VF remain at risk for recurrence. The use of an implantable cardioverter-defibrillator (ICD) effectively prevents such recurrences. We report the case of a 12-year-old girl who had a history of recurrent syncope and had survived an episode of VF. Serial studies after prolonged but successful resuscitation, including echocardiography, an electrocardiogram (ECG), and coronary angiography failed to reveal abnormal cardiac structures responsible for VF. No abnormal conduction pathways or abnormal early or late afterdepolarization were found on electrophysiologic study. The ST segments of the 12-lead ECG remained normal after procainamide challenge. The patient underwent ICD implantation 2 weeks after admission and syncope did not recur during a follow-up of 14 months. This report emphasizes that idiopathic VF may be responsible for syncope in children. ICD therapy prevents the recurrence of idiopathic VF and the associated risk of sudden death. |
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