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急性心肌炎患儿获得性完全性心脏传导阻滞的临床病程。

The clinical course of acquired complete heart block in children with acute myocarditis.

作者信息

Batra A S, Epstein D, Silka M J

机构信息

Division of Cardiology, Riley Children's Hospital, Indiana University School of Medicine, Indianapolis, IN 46202, USA.

出版信息

Pediatr Cardiol. 2003 Sep-Oct;24(5):495-7. doi: 10.1007/s00246-002-0402-2.

Abstract

A case of biopsy-proven myocarditis in a 7-year-old complicated by advanced atrioventricular (AV) block prompted a review of the medical literature to determine the prognosis for recovery of AV conduction or need for pacemaker implantation. A total of 40 patients younger than 20 years of age were identified, with return of AV conduction within 7 days in 27 patients (67%), permanent pacing in 11 patients (28%) with persistent AV block, and death in 2 patients (5%).

摘要

一名7岁经活检证实为心肌炎的患儿并发晚期房室传导阻滞,促使我们查阅医学文献以确定房室传导恢复的预后或起搏器植入的必要性。共确定了40例20岁以下的患者,其中27例(67%)在7天内恢复了房室传导,11例(28%)持续性房室传导阻滞患者接受了永久性起搏治疗,2例(5%)死亡。

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