Article
[Propranolol triggered recurrent ventricular tachycardia and electrical storm in an infant with long QT syndrome type 2].
Zhonghua er ke za zhi = Chinese journal of pediatrics - 2 Dec 2024
Li M T, Zhang Y, Li X M
Abstract excerpt
患儿 男,2月龄,因发现心率慢2个月,反复室性心动过速(VT)发作14 d伴发绀、精神反应差1 d就诊,临床出现多种心律失常,QT间期延长伴间歇性房室传导阻滞、交替性左束支与右束支传导阻滞及短VT,基因检测示KCNH2存在c.1478A>G杂合突变,诊断先天性长QT综合征2型,先后2次服用普萘洛尔未能有效控制VT且使其加重并形成电风暴,予静脉应用利多卡因后可有效终止电风暴,序贯美西律口服,同时予植入心脏起搏器,患儿未再发生恶性VT,随访11个月结局良好。.
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