Pedrote A, Varela J M, Sánchez A, Gil-Neciga E, Acosta D, Errazquin F, Burgos J
Departamento de Medicina Interna, Hospital Universitario Virgen del Rocío, Sevilla.
Rev Esp Cardiol. 1990 Mar;43(3):192-4.
We report a case of a 17-year-old woman with Kearns-Sayre Syndrome who developed a high degree atrioventricular block. She had intraventricular conduction disturbances with normal atrioventricular conduction in previous electrocardiograms. The diagnosis criteria of this rare syndrome are commented on, and we describe the electrophysiological features, prognostic and treatment that atrioventricular conduction disturbances produce in these patients. We emphasize the necessary collaboration between neurologists and cardiologists in the early recognition of the conduction disturbances for implanting a prophylactic pacemaker.
我们报告一例患有卡恩斯-塞尔综合征的17岁女性,该患者出现了高度房室传导阻滞。她之前的心电图显示室内传导障碍,房室传导正常。文中对这种罕见综合征的诊断标准进行了评论,并描述了房室传导障碍在这些患者中产生的电生理特征、预后及治疗情况。我们强调神经科医生和心脏科医生在早期识别传导障碍以便植入预防性起搏器方面进行必要协作的重要性。