【摘要】 目的了解中青年不明原因的阵发性室上性心动过速是否与脑部的痫性放电有关。方法利用心、脑电Holter同步监测,观察出现心动过速是否同时有脑部的痫样放电,对有痫性放电的病人按癫痫用卡马西平治疗,4个月后评价药物疗效。结果60例病人中有34例中在监测过程中记录到心动过速,其中13例同步记录的脑电图上有痫性放电,加用卡马西平治疗后10例发作停止,2例无效,1例失访。结论中青年原因不明的阵发性室上性心动过速可能部分与癫痫发作有关,心、脑电Holter的同步监测是明确诊断最有用的工具。更多还原

【Abstract】 Objective To explore the relations of the unknown paroxysmal supraventricular tachycardiain with the seizure of epilepsy in middle-aged and young men. Methods60 patients (M36, F24, average age 21years) with unknown paroxysmal supraventricular tachycardia were monitored by means of simultaneous ambulatory electrocardiogram and surface electroencephalogram for 24 hours to observe if supraventricular tachycardia occurred with simultaneous epileptoid discharge. The patients with epileptoid discharge received treatment with carbamazepine for 4 month and then the efficacy of antiepileptic therapy was evaluated. Results The paroxysmal changes in supraventricular tachycardiain were recorded in 34 patients. In 13 patients epileptoid discharge was recorded in surface electroencephalogram. Treated with carbamazepine, epilepsy stopped in 10 of them, no effect in 2 and 1 patent was out of follow-up. Conclusion The unknown paroxysmal supraventricular tachycardia is partly related with onsets of epilepsy. Simultaneous monitoring with ambulatory electrocardiogram and ambulatory electroencephalogram may promise the affirmative diagnosis.更多还原