Профессия – кардиолог | United States America (US)

Create: 2024-05-06 Update: 2024-06-07 00:11:23

Клинический случай. Синдром Джервелла-Ланге-Нильсена
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Суточное холтеровское мониторирование: постоянно отмечалось удлинение интервала QT более 0,05 сек. (максимально до 0,13 сек.). При автоматическом анализе превышение порога в 0,480 с. суммарно отмечалось в течение 14 часов 14 минут.

При произвольной ручной выборке интервала QT определялось превышение максимально допустимых значений до 537 мс. Автоматически вычисленное максимальное значение корригированного интервала QT – 599 мс (норма до 480 мс). Эхокардиографические показатели в норме.

У младшей сестры мальчика Д. умеренная брадикардия с рождения. Интервал QT удлинён на 0,13 сек., QTс 562 мс. Однако эпизодов синкопе и пресинокопе не отмечалось, получает анаприлин 1 мг/кг/сутки. Показаний к установке ИКД нет. Сурдолог выявил двухстороннюю нейросенсорную тугоухость 4 ст. Диагностирован синдром Джервелла-Ланге-Нильсена.

Семейный случай описан иркутскими кардиологами.

Профессия – кардиолог

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Профессия – кардиолог

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Клинический случай. Синдром Джервелла-Ланге-Нильсена

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