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本文引用的文献

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Electrocardiographic changes in paroxysmal hypertension due to chromaffin adrenal tumor.嗜铬细胞瘤所致阵发性高血压的心电图改变
Acta Med Scand. 1947 May 10;127(4):494-500. doi: 10.1111/j.0954-6820.1947.tb13163.x.
2
Phaeochromocytomas presenting as acute crises after beta blockade therapy.嗜铬细胞瘤在β受体阻滞剂治疗后出现急性危象。
Clin Endocrinol (Oxf). 2006 Aug;65(2):186-90. doi: 10.1111/j.1365-2265.2006.02571.x.
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Phaeochromocytoma.嗜铬细胞瘤
Lancet. 2005;366(9486):665-75. doi: 10.1016/S0140-6736(05)67139-5.
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Palpitations: a proper evaluation and approach to effective medical therapy.心悸:有效的医学治疗的正确评估与方法
Curr Cardiol Rep. 2005 Sep;7(5):362-7. doi: 10.1007/s11886-005-0090-7.
5
Mortality associated with pheochromocytoma in a large Swedish cohort.瑞典一个大型队列中嗜铬细胞瘤相关的死亡率。
Eur J Surg Oncol. 2004 Jun;30(5):556-9. doi: 10.1016/j.ejso.2004.03.006.
6
[Sinus node dysfunction with intermittent sinus arrest and AV-nodal escape rhythm as initial manifestation of pheochromocytoma].[以窦房结功能障碍伴间歇性窦性停搏及房室结逸搏心律为首发表现的嗜铬细胞瘤]
Z Kardiol. 2002 Jan;91(1):81-7. doi: 10.1007/s392-002-8376-8.
7
Heart rate dynamics during accentuated sympathovagal interaction.交感迷走神经相互作用增强时的心率动态变化。
Am J Physiol. 1998 Mar;274(3):H810-6. doi: 10.1152/ajpheart.1998.274.3.H810.
8
An unusual cause of palpitations requiring atrioventricular node ablation and pacemaker therapy.一种需要进行房室结消融和起搏器治疗的心悸异常病因。
Blood Press. 1997 Nov;6(6):368-71. doi: 10.3109/08037059709062097.
9
Bradydysrhythmia-related presyncope secondary to pheochromocytoma.嗜铬细胞瘤继发的与缓慢性心律失常相关的晕厥前状态。
J Intern Med. 1997 Sep;242(3):249-53. doi: 10.1046/j.1365-2796.1997.00198.x.
10
Cardiological effects of catecholamine-secreting tumours.儿茶酚胺分泌性肿瘤的心脏效应
Eur J Clin Invest. 1997 Mar;27(3):189-95. doi: 10.1046/j.1365-2362.1997.850646.x.

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.

DOI:10.1002/clc.20645
PMID:20865751
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6653478/
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。