Chang Hok-Keong, Wang Jieh-Neng, Wu Jing-Ming
Department of Pediatrics, Madou Sin Lau Hospital, Tainan, Taiwan.
Cardiol Young. 2012 Apr;22(2):230-1. doi: 10.1017/S104795111100117X. Epub 2011 Sep 6.
Acquired complete atrioventricular block that is caused by infectious myocarditis is usually transient and has a favourable outcome. We report the case of a 15-year-old girl who had complete infra-Hisian atrioventricular block due to adeno viral myocarditis and received a permanent pacemaker at the age of 10 months. The pacemaker lost its function at the age of 7 years. However, she experienced a late recurrence of complete atrioventricular block 10 years later. Complete atrioventricular block is rarely recovered if it persisted for 2 weeks. Even in the patients with late recovery, long-term follow-up and pacemaker therapy are still needed.
由感染性心肌炎引起的获得性完全性房室传导阻滞通常是短暂的，预后良好。我们报告一例15岁女孩的病例，该女孩因腺病毒性心肌炎导致希氏束下完全性房室传导阻滞，在10个月大时接受了永久性起搏器植入。该起搏器在7岁时失去功能。然而，10年后她出现了完全性房室传导阻滞的晚期复发。如果完全性房室传导阻滞持续2周，很少能恢复。即使是恢复较晚的患者，仍需要长期随访和起搏器治疗。
