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Catecholaminergic Polymorphic Ventricular Tachycardia Detected by an Insertable Loop Recorder in a Pediatric Patient with Exercise Syncopal Episodes

机译:儿科运动性触角发作患者的可插入式记录仪检测到儿茶酚胺能性多动性室性心动过速

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摘要

Syncope is a common clinical problem that occurs at all ages and is particularly prevalent in childhood and adolescence. The evaluation of syncope is best approached using the history and physical examination, electrocardiogram and risk stratification to guide further diagnostic tests. Syncope associated with exercise or exertion must be considered dangerous, it can be a predictor of sudden cardiac death and therefore it must be taken seriously. The insertable loop recorder has been proven to be useful in the diagnosis of recurrent syncope in adult patients in whom the cause of the syncope cannot be found by other noninvasive means. We report the first known case of cathecolaminergic polymorphic ventricular tachycardia detected by an insertable loop recorder in a 5-year-old boy with a syncopal history and no structural heart disease.
机译:晕厥是所有年龄段的常见临床问题,在儿童期和青春期尤为普遍。最好通过病史和体格检查,心电图和风险分层来评估晕厥,以指导进一步的诊断检查。与运动或劳累相关的晕厥必须被认为是危险的,它可以预测心脏猝死,因此必须认真对待。事实证明,可插入式环路记录仪可用于诊断成年患者的复发性晕厥,在成年患者中,通过其他非侵入性手段无法找到晕厥的原因。我们报告了一个可插入的循环记录仪在5岁男孩有晕厥病史,没有结构性心脏病的第一个已知的cathecolaminergic多态性室性心动过速的情况。

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