一例肥厚性心肌病失代偿期（burned-out phase）的女

作者:未知 出处:2006国际心脏猝死在线大会

亲爱的Dr. Dubner，非常感谢您的这个优秀的教育点。有一位38岁的妇女在一个月前因为新发的呼吸困难到我中心就诊。她有心源性猝死的家族史。她有完全性心脏传导阻滞合并室性逸搏心律。经胸超声心动图发现严重左室和右室的收缩功能不全，不对称得室间隔肥厚，肺动脉高压（PAP = 65-70mmHg），没有左室流出道的梗阻。患者呼吸困难的症状在心剂量利尿剂、ACEI和临时起搏器植入后仍然加重。您建议为这位患者植入DDD起搏器？还是您建议进行ICD-DR或ICD-CRT治疗？您对她的疾病的临床过程又什么见解？她在起搏器植入前还需要什么样的准备？真诚地，Hormoz Alizadeh MDDepartment of Pacemaker and ElectrophysiologyRajaie Cardiovascular Medical and Research CenterTehran, IranDear Dr Dubner    thank you for this excellent  educational site    A 38 year old femal referred to our center with new onsetdyspnea from a few month ago. She had family history of sudden cardiadeath. She had CHB with wide ventricular escape rhythm.TT.echocardiography revealed sever LV and RV systolic dysfunction,asymetric se