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[妊娠25周时因获得性三度房室传导阻滞植入心脏起搏器]

[Implantation of a cardiac pacemaker in the 25th week of pregnancy in acquired 3d degree AV-block].

作者信息

Rosen A, Klein M, Ambros O, Pfemeter G

机构信息

Gynäkologische-Geburtshilfliche Abteilung, Hanusch-KH, Wien.

出版信息

Geburtshilfe Frauenheilkd. 1991 Mar;51(3):239-40. doi: 10.1055/s-2007-1023712.

Abstract

It is well documented, that bradycardiac electrical heart activity disturbances occur very rarely in women of reproductive age. Therapy is in fact redundant in congenital AV-block. However, acquired AV-block in pregnancy constitutes a risk for both mother and child. In the following case, we report on an acquired third-degree AV-block, which worsened during the pregnancy from N.Y.H.A stage I to stage III, and hence required the implantation of a pacemaker during pregnancy.

摘要

有充分的文献记载,心动过缓性心电活动紊乱在育龄女性中极为罕见。事实上,先天性房室传导阻滞无需治疗。然而,妊娠期获得性房室传导阻滞对母婴均构成风险。在以下病例中,我们报告一例获得性三度房室传导阻滞,该病例在孕期从纽约心脏协会(NYHA)心功能I级恶化为III级,因此在孕期需要植入起搏器。

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