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首页> 外文期刊>Sao Paulo Medical Journal >Malignant ventricular tachycardia in acromegaly: a case report
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Malignant ventricular tachycardia in acromegaly: a case report

机译：肢端肥大症恶性室性心动过速：一例报告

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CONTEXT: In patients with acromegaly, cardiovascular complications are the main cause of death; sudden death has been associated with ventricular tachyarrhythmias. In other patients with life-threatening malignant ventricular tachyarrhythmias, surgical placement of an implantable cardioverter-defibrillator (ICD) has proved highly effective in reducing sudden death rates. CASE REPORT: The present article reports the case of a 50-year-old male acromegalic patient who presented symptoms of syncope induced by ventricular tachycardia. An ICD was surgically implanted and a pituitary adenoma, which was responsible for the acromegaly, was completely removed in the same procedure. The surgery was successful and the ventricular arrhythmias were effectively terminated. During six months of follow-up, no documented arrhythmic episodes occurred. CONCLUSION: In patients with acromegaly, malignant ventricular tachyarrhythmia might be effectively controlled by implantation of an ICD and surgical removal of the pituitary adenoma.
机译：背景：在肢端肥大症患者中，心血管并发症是主要的死亡原因。猝死与室性心律失常有关。在其他威胁生命的恶性室速性心律失常的患者中，植入式心脏复律除颤器（ICD）的手术放置已被证明在降低猝死率方面非常有效。病例报告：本文报道了一名50岁的男性肢端肥大症患者的病例，该患者表现出由室性心动过速引起的晕厥症状。通过外科手术植入ICD，并在同一步骤中完全清除了导致肢端肥大的垂体腺瘤。手术成功并有效终止了室性心律失常。在六个月的随访中，没有记录到心律失常发作。结论：在肢端肥大症患者中，ICD的植入和垂体腺瘤的手术切除可有效控制恶性室性快速性心律失常。

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