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通常认为右室心肌病是致死性心律失常的罕见病因。本文研究了一组青年人猝死情况,发现右室心肌病可能是青年人猝死的一个常见病因。1979年到1986年作者对意大利东北部一地区白人居民中60例35岁以下猝死者进行尸检,对其中56例死亡原因与心脏有关者进行了显微镜及组织学染色检查,结果证实12例有右室心肌病。12例中7男5女,年龄13~30(平均20.5)岁。无1例有近期病毒感染或前驱症状;2例为右室心肌病多发家族中的表兄弟;5例几乎以突然死亡作为该病的第一病征,余7例生前曾有心悸常伴晕厥发作,其中5例基础心电图示QRS 波群正常和胸前导联 T 波倒置,并都记录到室性早搏或室性心动过速伴左束枝传导阻滞等室性心律失
Right ventricular cardiomyopathy is commonly considered a rare cause of fatal arrhythmias. This article studies a group of sudden death among young people and found that right ventricular cardiomyopathy may be a common cause of sudden death in young people. From 1979 to 1986, autopsies were performed on 60 sudden deaths among white residents in a region of northeastern Italy from the age of 35, and microscopic and histological examination of 56 of the causes of death were carried out. The results confirmed that 12 Cardiomyopathy. Of the 12 patients, 7 were males and 5 were females, aged 13 to 30 (mean, 20.5) years. None of the patients had recent viral infections or prodromal symptoms; 2 were cousins of the multiple family with right ventricular cardiomyopathy; 5 had almost sudden death as the first symptom of the disease and 7 had palpitations with frequent syncope , Of which 5 cases of basic electrocardiogram QRS wave group normal and chest lead T wave inversion, and recorded ventricular premature beats or ventricular tachycardia with left bundle branch block and other ventricular arrhythmias