亲爱的朱医生 这是个有趣的病例。在这样的病例中知道室速起源的可能部位较重要。室速的形态都相同吗?如果室速起源于左室,那么可能是心肌炎导致。如果室速起源于右室,那么可能是致心律失常性右室发育不良或者为心功能尚好的特发性扩张型心肌病。因此,重要的是能更好的描述心肌炎的临床表现,有多严重?其他重要之处是要了解常规心脏超声是否显示心功能下。Guy Fontaine 医生Sergio Dubner医生科委会主席Edgardo Schapachnik医生组织会主席袁奕译 王玲洁校82E RE: Case: Male, 29yrs. Dr. Fontaine to Dr. ZhuDear Dr ZhuInteresting case. In such a case it is important what is the probablesite of origin of VT ? Is the VT always of the same morphology ?If VT originates in the left ventricle it is probably the result ofMyocarditis If VT originates in the RV it is probably a case of ARVDor IDCM with preserved cardiac function.Therefore it is also important to have a better description of theclinical expression of myocarditis. How severe it was?It is