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经导管消融联合机械血流动力学支持成功恢复严重左心室收缩功能不全的心动过速性心肌病:一例报告

Successful recovery of tachycardia-induced cardiomyopathy with severely depressed left ventricular systolic function by catheter ablation with mechanical hemodynamic support: a case report.

作者信息

Kamada Kazuhiro, Kubo Toshihiko, Sada Masashi, Ishikita Akihito, Tezuka Mika, Akiyama Yusuke, Umezu Ryuta, Ogawa Kiyohiro, Horimoto Koshin, Matsusaka Hidenori

机构信息

Department of Cardiology Matsuyama Red Cross Hospital Matsuyama Ehime Japan.

出版信息

Clin Case Rep. 2016 Jan 14;4(3):232-5. doi: 10.1002/ccr3.482. eCollection 2016 Mar.

DOI:10.1002/ccr3.482
PMID:27014440
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4771860/
Abstract

We describe the case that persistent atrial fibrillation refractory to rhythm control by pharmacotherapy and electrical cardioversions caused tachycardia-induced cardiomyopathy with low ejection fraction and hemodynamic instability. Mechanical hemodynamic support using an intra-aortic balloon pump is one of the choices of hemodynamic support during catheter ablation by pulmonary vein isolation.

摘要

我们描述了这样一个病例

持续性心房颤动对药物治疗和电复律的节律控制无效,导致了射血分数降低和血流动力学不稳定的心动过速性心肌病。使用主动脉内球囊泵进行机械血流动力学支持是肺静脉隔离导管消融期间血流动力学支持的选择之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e20/4771860/d6a8b7578ac1/CCR3-4-232-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e20/4771860/5b4f5c4a68ae/CCR3-4-232-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e20/4771860/d6a8b7578ac1/CCR3-4-232-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e20/4771860/5b4f5c4a68ae/CCR3-4-232-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e20/4771860/d6a8b7578ac1/CCR3-4-232-g002.jpg

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Reversible Cardiomyopathies.可逆性心肌病
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Management of cardiogenic shock.心源性休克的治疗。
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Incomplete cure of tachycardia-induced cardiomyopathy secondary to rapid atrial fibrillation by heart rate control without sinus conversion.通过心率控制而非窦性心律转复对继发于快速心房颤动的心动过速性心肌病进行不完全治愈。
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Outcomes after atrioventricular node ablation and biventricular pacing in patients with refractory atrial fibrillation and heart failure: a comparison between non-ischaemic and ischaemic cardiomyopathy.房室结消融和双心室起搏治疗难治性心房颤动和心力衰竭患者的结果:非缺血性和缺血性心肌病的比较。
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Long-term follow-up after atrial fibrillation ablation in patients with impaired left ventricular systolic function: the importance of rhythm and rate control.左心室收缩功能受损患者房颤消融术后的长期随访:节律和心率控制的重要性
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What is the time course of reversal of tachycardia-induced cardiomyopathy? Response.心动过速性心肌病逆转的时间进程是怎样的?回答。
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