颈动脉支架置入术后致命性迟发性血流动力学抑制
Fatal delayed hemodynamic depression after carotid artery stenting.
作者信息
Joseph George, Kiron Varsha, John Bobby
机构信息
Professor, Department of Cardiology, Christian Medical College, Vellore, India.
Post-graduate Registrar, Department of Cardiology, Christian Medical College, Vellore, India.
出版信息
Indian Heart J. 2014 Nov-Dec;66(6):696-9. doi: 10.1016/j.ihj.2014.10.403. Epub 2014 Oct 29.
Abstract
Refractory and fatal hemodynamic depression remarkably occurred eight hours after left carotid artery stenting in a 62-year-old male who had no hemodynamic instability till then; possible contributory factors were pre-existing moderate left ventricular systolic dysfunction and new-onset complete heart block caused by vasopressor-induced sympathetic stimulation in the presence of covert distal conduction system disease.
摘要
一名62岁男性在左颈动脉支架置入术后8小时，显著出现难治性和致命性血流动力学抑制，在此之前他并无血流动力学不稳定的情况；可能的促成因素包括既往存在的中度左心室收缩功能障碍，以及在隐匿性远端传导系统疾病存在的情况下，血管升压药诱发的交感神经刺激导致的新发完全性心脏传导阻滞。
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