Yayehd K, Ganou K, Tchamdja T, Tété Y, N'cho Mottoh M P, Pessinaba S, Damorou F
Med Trop (Mars). 2011 Dec;71(6):637-8.
The purpose of this cross-sectional study was to describe epidemiological, clinical and therapeutic aspects of high-grade atrioventricular block in Lomé. Out of 2245 patients hospitalized between June 2004 and May 2009, a total of 22 cases of high-grade atrioventricular block were detected thus a prevalence of 1%. The main symptoms were syncope and presyncope (73%) and dyspnea (50%). There was 77.2% of chronic grade III atrioventricular block and 22.8% of grade II atrioventricular block. A pacemaker has been established in 8 patients (40% of the patients presenting a class I indication) in VVI (R) mode. We noted 59% of deaths among patients who did not benefited from any cardiac pacing.
这项横断面研究的目的是描述洛美地区高级别房室传导阻滞的流行病学、临床和治疗方面的情况。在2004年6月至2009年5月期间住院的2245名患者中,共检测到22例高级别房室传导阻滞,患病率为1%。主要症状为晕厥和先兆晕厥(73%)以及呼吸困难(50%)。慢性III度房室传导阻滞占77.2%,II度房室传导阻滞占22.8%。8名患者(占具有I类适应症患者的40%)以VVI(R)模式植入了起搏器。我们注意到,未接受任何心脏起搏治疗的患者中有59%死亡。