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射频消融治疗房室结折返性心动过速1周后出现的短暂性完全性房室传导阻滞。

Transient complete atrioventricular block occurring 1 week after radiofrequency ablation for the treatment of atrioventricular nodal re-entrant tachycardia.

作者信息

Takahashi Masafumi, Mitsuhashi Takeshi, Hashimoto Toru, Ebisawa Katsuto, Fujikawa Hideyuki, Ikeda Uichi, Shimada Kazuyuki

机构信息

Department of Cardiology, Jichi Medical School, Tochigi, Japan.

出版信息

Circ J. 2002 Nov;66(11):1073-5. doi: 10.1253/circj.66.1073.

Abstract

Atrioventricular (AV) block following radiofrequency (RF) ablation for the treatment of AV nodal re-entrant tachycardia (AVNRT) is a rare but serious complication of this procedure. Almost all such cases occur during or immediately after radiofrequencey (RF) energy application, followed by prompt recovery. The present report describes a 22-year-old woman with first-degree AV block on electrocardiography, who developed complete AV block 1 week after RF ablation for the treatment of the uncommon form of AVNRT (slow/slow). The patient's complete AV block persisted for another 1 week before she recovered.

摘要

射频消融治疗房室结折返性心动过速(AVNRT)后发生的房室(AV)阻滞是该手术罕见但严重的并发症。几乎所有此类病例都发生在射频(RF)能量施加期间或之后立即出现,随后迅速恢复。本报告描述了一名22岁女性,心电图显示一度房室阻滞,在射频消融治疗罕见形式的AVNRT(慢/慢型)1周后发生了完全性房室阻滞。患者的完全性房室阻滞持续了另外1周后才恢复。

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