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Nearly fatal ventricular arrhythmia following pacemaker implantation in a young female with complete heart block
被引:3
作者:

Ali, Hussam
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IRCCS Humanitas Res & Univ Hosp, Arrhythmia & EP Res Ctr, Via A Manzoni 56, I-20089 Milan, Italy IRCCS Humanitas Res & Univ Hosp, Arrhythmia & EP Res Ctr, Via A Manzoni 56, I-20089 Milan, Italy

Lupo, Pierpaolo
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IRCCS Humanitas Res & Univ Hosp, Arrhythmia & EP Res Ctr, Via A Manzoni 56, I-20089 Milan, Italy IRCCS Humanitas Res & Univ Hosp, Arrhythmia & EP Res Ctr, Via A Manzoni 56, I-20089 Milan, Italy

Foresti, Sara
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IRCCS Humanitas Res & Univ Hosp, Arrhythmia & EP Res Ctr, Via A Manzoni 56, I-20089 Milan, Italy IRCCS Humanitas Res & Univ Hosp, Arrhythmia & EP Res Ctr, Via A Manzoni 56, I-20089 Milan, Italy

De Ambroggi, Guido
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IRCCS Humanitas Res & Univ Hosp, Arrhythmia & EP Res Ctr, Via A Manzoni 56, I-20089 Milan, Italy IRCCS Humanitas Res & Univ Hosp, Arrhythmia & EP Res Ctr, Via A Manzoni 56, I-20089 Milan, Italy

Mantovani, Riccardo
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IRCCS Humanitas Res & Univ Hosp, Arrhythmia & EP Res Ctr, Via A Manzoni 56, I-20089 Milan, Italy IRCCS Humanitas Res & Univ Hosp, Arrhythmia & EP Res Ctr, Via A Manzoni 56, I-20089 Milan, Italy

De Lucia, Carmine
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IRCCS Humanitas Res & Univ Hosp, Arrhythmia & EP Res Ctr, Via A Manzoni 56, I-20089 Milan, Italy IRCCS Humanitas Res & Univ Hosp, Arrhythmia & EP Res Ctr, Via A Manzoni 56, I-20089 Milan, Italy

Passarelli, Ilaria
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IRCCS Humanitas Res & Univ Hosp, Arrhythmia & EP Res Ctr, Via A Manzoni 56, I-20089 Milan, Italy IRCCS Humanitas Res & Univ Hosp, Arrhythmia & EP Res Ctr, Via A Manzoni 56, I-20089 Milan, Italy

De Ambroggi, Luigi
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Univ Milan, Milan, Italy IRCCS Humanitas Res & Univ Hosp, Arrhythmia & EP Res Ctr, Via A Manzoni 56, I-20089 Milan, Italy

Cappato, Riccardo
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IRCCS Humanitas Res & Univ Hosp, Arrhythmia & EP Res Ctr, Via A Manzoni 56, I-20089 Milan, Italy IRCCS Humanitas Res & Univ Hosp, Arrhythmia & EP Res Ctr, Via A Manzoni 56, I-20089 Milan, Italy
机构:
[1] IRCCS Humanitas Res & Univ Hosp, Arrhythmia & EP Res Ctr, Via A Manzoni 56, I-20089 Milan, Italy
[2] Univ Milan, Milan, Italy
关键词:
complete heart block;
long QT;
pacemaker;
ventricular repolarization;
ventricular tachyarrhythmia;
QT INTERVAL;
FORMULA;
D O I:
10.1002/joa3.12220
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
This case concerns a 24-year-old female who developed malignant ventricular tachyarrhythmia a few weeks after pacemaker implantation for complete heart block. Apparently, right ventricular pacing caused significant repolarization abnormalities in both native and paced rhythms with marked QT prolongation and substantial electrical instability. This case highlights other intriguing phenomena in the puzzle of cardiac repolarization and how pacing therapy may alter this complex process providing arrhythmic substrate in vulnerable subjects. Though such arrhythmic events are clinically rare, vulnerable patients or with suspected myocardial disease that may cause QT prolongation should be carefully followed in the course of pacing therapy.
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页码:766 / 769
页数:4
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