Yasar Sinan Umit, Oktay Veysel, Selishta Mefat, Yıldız Mustafa
Istanbul University Institute of Cardiology, Department of Cardiology.
J Atr Fibrillation. 2016 Oct 31;9(3):1469. doi: 10.4022/jafib.1469. eCollection 2016 Oct-Nov.
There are many cases in the literature concerning the occurence of atrioventricular block in acute myocardial infarction. The prevelance and management of AV block in the setting of chronic myocardial ischemia remains unclear. Our case presented with stable angina pectoris. Treadmill test revealed Mobitz Type 2 AV block which disappeared with contrast injection and re-occured after injection during PCI.
文献中有许多关于急性心肌梗死时发生房室传导阻滞的病例。慢性心肌缺血情况下房室传导阻滞的患病率和治疗仍不明确。我们的病例表现为稳定型心绞痛。 treadmill试验显示莫氏Ⅱ型房室传导阻滞,造影剂注射时消失,PCI术中注射后再次出现。