江汉大学学报(自然科学版) ›› 2023, Vol. 51 ›› Issue (6): 54-62.doi: 10.16389/j.cnki.cn42-1737/n.2023.06.008

• 医学 • 上一篇    

儿童心律失常性心肌病研究进展

柯思思1,2 ,张 勇*2   

  1. 1. 武汉科技大学 医学院,湖北 武汉 430070; 2. 华中科技大学 同济医学院附属武汉儿童医院(武汉市妇幼保健院),湖北 武汉 430016
  • 发布日期:2023-12-25
  • 通讯作者: 张 勇
  • 作者简介:柯思思(1996— ),女,硕士生,研究方向:儿科学。
  • 基金资助:
    湖北省科技厅自然科学基金面上项目(2019CFB783)

Research Progress on Arrhythmia-Induced Cardiomyopathy in Children

KE Sisi ,ZHANG Yong   

  1. 1. School of Medicine,Wuhan University of Science and Technology,Wuhan 430070,Hubei,China; 2. Wuhan Children's Hospital(Wuhan Maternal and Child Health Care Hospital),Tongji Medical College, Huazhong University of Science & Technology,Wuhan 430016,Hubei,China
  • Published:2023-12-25
  • Contact: ZHANG Yong

摘要: 心律失常性心肌病(AIC)是一种由心律失常引起的继发性心肌病,表现为心室扩大、心 功能不全,在心律失常控制后心功能可得到部分或完全逆转。心律失常在儿童中不易被发现,因 此,儿童心律失常性心肌病的发病率可能被低估。本病通常在心律失常控制后心功能可得到部 分或完全缓解。药物和手术治疗是治疗各类心律失常性心肌病的常见治疗手段。早期诊断和及 时治疗对改善其预后具有重要意义。本文围绕 AIC 的诸多类型总结国内外文献,对流行病学、定 义、发病机制、临床症状、诊断和最新治疗手段等做了系统介绍,并对目前国内外的治疗手段进行 了讨论。

关键词: 心律失常, 儿童, 心肌病

Abstract: Arrhythmia-induced cardiomyopathy(AIC)is a kind of cardiomyopathy caused by sustained or recurrent arrhythmias,the main clinical manifestations of which are cardiac dilatation and cardiac dysfunction, and blockade arrhythmia could result in partial or complete resolution of the left ventricular ejection fraction. Arrhythmia is hard detected in children,therefore the epidemiology of AIC may be underestimated. Arrhythmias blockade could result in partial or complete resolution of the left ventricular ejection fraction. Both drug therapy and catheter ablation are standard treatment that have been used to treat AIC. Early diagnosis and reasonable treatment are significant to improve the prognosis. This paper summarized domestic and foreign literature on the various types of AIC,systematically reviewed the epidemiology,definition,pathogenesis,clinical symptoms,diagnosis,and the latest treatment methods,and discussed the current treatment at home and abroad.

Key words: arrhythmia, children, cardiomyopathy

中图分类号: