急性心肌炎中的持续性心房停搏
Persistent Atrial Standstill in Acute Myocarditis.
作者信息
Prabhu Mukund A, Srinivas Prasad B V, Thajudeen Anees, Namboodiri Narayanan
机构信息
Departments of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, and *Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru; India. Correspondence to: Dr Mukund A Prabhu, Electrophysiology Unit, Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, 9th Block Jayanagar, Bannerghatta Road, Bengaluru 560 069, India.
出版信息
Indian Pediatr. 2016 Feb;53(2):162-4. doi: 10.1007/s13312-016-0814-3.
BACKGROUND
Atrial standstill manifests as absence of any atrial electrical activity in the surface ECG leads. Persistent atrial standstill secondary to acute myocarditis is extremely rare.
CASE REPORT
10-year-old girl had atrial standstill and heart failure due to acute myocarditis. After recovery from myocarditis, heart failure resolved, but the atrial standstill persisted.
OUTCOME
Persistent atrial standstill was treated with permanent pacemaker and anticoagulation.
MESSAGE
Acute myocarditis may rarely cause atrial standstill that can last even after recovery from myocarditis.
背景
心房静止表现为体表心电图导联中无任何心房电活动。继发于急性心肌炎的持续性心房静止极为罕见。
病例报告
一名10岁女孩因急性心肌炎出现心房静止和心力衰竭。心肌炎恢复后，心力衰竭得到缓解，但心房静止持续存在。
结果
持续性心房静止采用永久性起搏器和抗凝治疗。
启示
急性心肌炎可能很少导致心房静止，即使在心肌炎恢复后仍可持续存在。
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