Nimura Asami, Sato Nobuyuki, Sakuragi Hitoshi, Koyama Satoshi, Maruyama Junichi, Talib Ahmed Karim, Nakagawa Naoki, Sakamoto Naka, Ota Hisanobu, Tanabe Yasuko, Takeuchi Toshiharu, Kawamura Yuichiro, Hasebe Naoyuki
Cardiovascular Respiratory and Neurology Division, Department of Internal Medicine, Asahikawa Medical College, Japan.
Intern Med. 2011;50(18):1957-61. doi: 10.2169/internalmedicine.50.5228. Epub 2011 Sep 15.
We describe a case of advanced atrioventricular (AV) block, in which treatment with cilostazol was effective in recovering the AV conduction. The patient was referred to our hospital for close examination of the advanced AV block and permanent pacemaker implantation. Although the patient had experienced third-degree AV block with occasional AV synchrony for more than two days, the AV conduction completely recovered after treatment with oral cilostazol at 200 mg/day. Here we discuss the possible mechanism of the improvement in the AV conduction by cilostazol.
我们描述了一例晚期房室传导阻滞病例，其中西洛他唑治疗可有效恢复房室传导。该患者因晚期房室传导阻滞及永久性起搏器植入而被转诊至我院进行详细检查。尽管患者经历了三度房室传导阻滞且偶尔有房室同步超过两天，但在口服西洛他唑200毫克/天治疗后，房室传导完全恢复。在此我们讨论西洛他唑改善房室传导的可能机制。
