Devkota Kiran, Wang Ya Hong, Liu Meng Yi, Li Yan, Zhang You Wei
Department of Pediatrics I, Renmin Hospital, Hubei University of Medicine, Hubei, China.
F1000Res. 2018 Feb 28;7:239. doi: 10.12688/f1000research.14000.2. eCollection 2018.
Fulminant myocarditis is a life-threatening clinical condition. It is the inflammation of myocardium leading to acute heart failure, cardiogenic shock and cardiac arrhythmias. Incidence of fulminant myocarditis is low and mortality is high. Most grievous complications of fulminant myocarditis is mainly cardiac arrhythmias; if there is delay on active management of the patient, it may be fatal. Here, we describe a case of III° atrioventricular block due to fulminant myocarditis that was managed with non-invasive transcutaneous cardiac pacing in the absence of ECMO. The non-invasive transcutaneous pacemaker is a safe, effective and convenient device to revert arrhythmias.
暴发性心肌炎是一种危及生命的临床病症。它是心肌的炎症，可导致急性心力衰竭、心源性休克和心律失常。暴发性心肌炎的发病率低但死亡率高。暴发性心肌炎最严重的并发症主要是心律失常；如果对患者的积极治疗有所延误，可能会致命。在此，我们描述一例因暴发性心肌炎导致三度房室传导阻滞的病例，该病例在未使用体外膜肺氧合（ECMO）的情况下通过无创经皮心脏起搏进行治疗。无创经皮起搏器是一种安全、有效且便捷的纠正心律失常的设备。
