Sekimoto Yasuhito, Nishizaki Yuji, Sesoko Masahiro, Sai Eiryu, Yamashita Haruyo, Yamagami Shinichiro, Daida Hiroyuki
Department of Cardiology, Juntendo University Graduate School of Medicine, Juntendo Tokyo Koto Geriatric Medical Center, Japan.
Intern Med. 2014;53(12):1347-9. doi: 10.2169/internalmedicine.53.1881. Epub 2014 Jun 15.
A 66-year-old man was admitted due to repeated syncope, and the electrocardiogram showed complete atrioventricular block (CAVB). He had moderate aortic valve stenosis (AS) with a severely calcified valve. This case indicates that if calcification spreads into the cardiac conduction system, it may cause CAVB. Although CAVB is not typically considered a main cause of syncope in AS patients, it should nevertheless be considered in the differential diagnosis.
一名66岁男性因反复晕厥入院，心电图显示完全性房室传导阻滞（CAVB）。他患有中度主动脉瓣狭窄（AS），瓣膜严重钙化。该病例表明，如果钙化蔓延至心脏传导系统，可能会导致CAVB。虽然CAVB通常不被认为是AS患者晕厥的主要原因，但在鉴别诊断中仍应予以考虑。
