青年成人因嗜铬细胞瘤导致的房室分离。
Atrioventricular dissociation due to pheochromocytoma in a young adult.
机构信息
University Hospital of Antwerp, Edegem, Belgium.
出版信息
Clin Cardiol. 2010 Dec;33(12):E65-7. doi: 10.1002/clc.20645. Epub 2010 Sep 23.
Abstract
Atrioventricular dissociation can be a manifestation of an underlying noncardiac disease.We present a patient who underwent pacemaker implantation because of intermittent atrioventricular dissociation and medically untreatable supraventricular arrhythmias, which could not be induced by electrophysiological testing. The arrhythmias proved to be due to a pheochromocytoma. After left adrenalectomy, both the supraventricular arrhythmias and the atrioventricular dissociation disappeared. Adequate recognition and treatment of pheochromocytoma can reverse atrioventricular dissociation and may avoid unnecessary procedures such as electrophysiological testing and pacemaker implantation.
摘要
房室分离可能是潜在非心脏疾病的表现。我们介绍了一位患者，他因间歇性房室分离和药物无法治疗的室上性心律失常而接受起搏器植入，但电生理检查无法诱发这些心律失常。这些心律失常证实是由嗜铬细胞瘤引起的。左肾上腺切除术之后，室上性心律失常和房室分离都消失了。充分认识和治疗嗜铬细胞瘤可以逆转房室分离，并可能避免电生理检查和起搏器植入等不必要的程序。
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