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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Vitamin D as a Substitute of Catheter Ablation in a Paediatric Patient with High Burden Premature Ventricular Contractions: A Case Report
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Vitamin D as a Substitute of Catheter Ablation in a Paediatric Patient with High Burden Premature Ventricular Contractions: A Case Report

机译：维生素D作为高负荷过早性心室收缩的儿科患者的导管消融替代：案例报告

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摘要

Catheter ablation is established as a treatment option for patients with high number Premature Ventricular Contractions (PVCs).However, complications can occur: cardiac tamponade, coronary artery injury or infectious endocarditis.Reversible causes such as hypocalcaemia, hypomagnesaemia and hypokalemia can be responsible for PVCs.Here, a case of nine years old boy, with vitamin D deficiency that presented high number PVCs which corrected using vitamin D dietary supplementation was described.A nine-year-old boy was hospitalised in the Cardiology Department for catheter ablation of PVCs.He presented short of breath during football matches and asthenia.Electrocardiography(ECG) and Holter ECG demonstrated high number PVCs with a morphology consistent of Right Ventricular Outflow Tract (RVOT) origin.Catheter ablation was postponed until Vitamin D came to normal values.Dietary supplementation was performed, together with Holter ECG monitoring.After vitamin D normalisation, PVC burden reduced significantly without the need of catheter ablation or anti-arrhythmic drugs.Catheter ablation and anti-arrhythmic drugs can be avoided in patients with frequent PVCs and vitamin D deficiency.
机译：导管消融是为高次过早性心室收缩（PVCs）的患者的治疗选择。然而，可以发生并发症：心脏填补症，冠状动脉损伤或传染性内膜炎。可转让的原因如低钙血症，低钙血症和低钾血症都可能对PVC负责。该案例，九岁的男孩，呈现使用维生素D膳食补充纠正的大量PVC的维生素D缺乏症。九岁的男孩在心脏病学部门住院，以获得pvcs.he的导管消融在足球比赛和哮喘内呼吸缺乏呼吸。电子表法（ECG）和HOLTER ECG展示了具有右心室流出道（RVOT）原产地的形态的高数量PVC。停止疾病烧蚀，直至维生素D转到正常值。奇皮蛋白补充是与holtereCOG监测一起进行，维生素D标准化，PVC负担减少显着不需要导管消融或抗心律失常药物。频繁PVCs和维生素D缺乏症的患者可以避免避免Cater消融和抗心律失常药物。

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