Yangtze River ** Wuhan Client, December 16 (Reporter Zhang Yue, correspondent Xu Weiping) Recently, Wang Yiyi, a 9-year-old girl who lives in Enshi, has symptoms such as vomiting, fatigue, and sweating, and her heart rate is about 200 minutes, which is nearly twice as high as the regular heart rate of 70-100 minutes for 9-year-old children. After first aid, one by one, the heartbeat was restored, but the condition is still very unstable. After receiving the rescue request, Wuhan Yaxin General Hospital flew 465 kilometers to Enshi and carried out emergency transport of the children one by one.
The child** was discharged from the hospital.
After being successfully transferred to Wuhan Yaxin General Hospital with the assistance of ECMO, the Department of Cardiovascular Medicine and Surgery, the Department of Intensive Care Medicine, the Department of Cardiopulmonary Bypass, and the Department of Pediatrics started the MDT multidisciplinary consultation, and invited Professor Ouyang Feifei, a famous electrophysiologist from Germany, to participate.
The heart is like a two-bedroom and two-hall house, and there are many electrical systems distributed inside the house, and the sinus node of the heart is like a circuit gate, which conducts electricity to each room through wires and directs the whole heart to beat normally. When an additional power station is added in addition to the normal power lines, the entire electrical system becomes deranged, causing tachycardia to occur. When we accurately capture this additional power station and process it, the heart's beating will return to normal. Liu Yang, director of the Department of Pediatrics, explained.
The surgery is in progress.
After the diagnosis was confirmed, cardiovascular experts Professor Ouyang Feifei, Director Tang Cheng, and Dr. He Tongda performed intracardiac electrophysiological examination + radiofrequency ablation surgery one by one, and at the same time made an emergency plan for radiofrequency ablation surgery under ECMO-assisted circulation. During the operation, the line of femoral vein blood vessels should be punctured, and the catheter should be sent to the heart to search for abnormal pacemakers. Left atrial appendage, right atrial appendage, pulmonary veins ......After careful exploration step by step, the ectopic "excitement point" was finally detected in the high septum of the right atrium, and the discharge ablation began, and the child immediately returned to normal heartbeat.
After the operation, with the close cooperation of the heart center, pediatrics, intensive care medicine and other disciplines, the child has returned to school and returned to normal life.
Doctor's rounds. The disease of endless atrial tachycardia is not obvious in many patients, because the patient's heart beats at a rate of 120 to 140 times a day. In the long run, the heart will be depleted of energy, gradually enlarged, and then heart failure symptoms such as swollen feet, inability to sleep, and gasping for breath when going upstairs will appear. Once heart failure drags on for too long, it will be life-threatening, beyond a certain limit, even if the cause of tachycardia is removed, the heart function will not be able to return to normal. Professor Ouyang Feifei introduced.
The child** was discharged from the hospital.
Experts recommend reminding parents that once they find their child's heart rate continues to be fast even when they are asleep (a heart rate of 140 beats for children under 3 years old).Children over 3 years old with a heart rate of 120 beats) must be sent to a professional cardiologist as soon as possible, once diagnosed with endless atrial tachycardia, it is best to be performed by an experienced electrophysiologist for radiofrequency ablation**, and the sooner the better, do not carelessly let the child take unnecessary risks to life.
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