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报告两例长时间误诊的原发性醛固酮增多症所致反复发作心脏骤停。原发性醛固酮增多症并非罕见。对其所致室性心律失常的机制进行探讨,分析误诊原因可能与醛固酮的昼夜分泌规律等何关。对反复发作室性心律失常伴高血压、低血钾者,应注意排除原发性醛固酮增多症,必要时应做动态心电图监测。
Two cases of long-term misdiagnosis of primary aldosteronism caused by recurrent cardiac arrest. Primary aldosteronism is not uncommon. The ventricular arrhythmia caused by its mechanism to explore the misdiagnosis may be related to aldosterone diurnal secretion of law and so on. Of recurrent ventricular arrhythmias with hypertension, hypokalemia who should be ruled out primary aldosteronism, if necessary, should be done Holter monitoring.