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心房颤动，一种伴有疑似内膜-内膜套叠的急性斯坦福A型主动脉夹层的附带现象。

Atrial fibrillation, an epiphenomenon of acute Stanford type-A aortic dissection with suspected intimo-intimal intussusception.

作者信息

Ciulla Michele M, Vivona Patrizia, Lemos Alessandro, Sozzi Fabiola, Cioffi Ugo, Testori Alberto

机构信息

Laboratory of Clinical Informatics and Cardiovascular Imaging Department of Clinical Sciences and Community Health University of Milan Milan Italy.

Cardiovascular Diseases Unit Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico Milan Italy.

出版信息

Clin Case Rep. 2018 Jul 23;6(9):1791-1794. doi: 10.1002/ccr3.1701. eCollection 2018 Sep.

DOI:10.1002/ccr3.1701
PMID:30214765
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6132104/
Abstract

Supraventricular arrhythmias can sometimes be "only" epiphenomena appearing during acute hypoxia, pneumonia, pulmonary embolism, and thrombosis. Indeed, atrial fibrillation is not rare in acute aortic dissection as it is estimated in about one half of patients and may be secondary to a perfusion deficit of the sinoatrial node artery.

摘要

室上性心律失常有时可能只是急性缺氧、肺炎、肺栓塞和血栓形成期间出现的“单纯”附带现象。事实上，急性主动脉夹层中房颤并不少见，据估计约一半患者会出现，且可能继发于窦房结动脉灌注不足。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea0/6132104/ab836206b150/CCR3-6-1791-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea0/6132104/c6bc05b9f17c/CCR3-6-1791-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea0/6132104/ab836206b150/CCR3-6-1791-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea0/6132104/c6bc05b9f17c/CCR3-6-1791-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea0/6132104/ab836206b150/CCR3-6-1791-g002.jpg

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本文引用的文献

1
Diagnostic Accuracy of the Aortic Dissection Detection Risk Score Plus D-Dimer for Acute Aortic Syndromes: The ADvISED Prospective Multicenter Study.主动脉夹层检测风险评分加 D-二聚体对急性主动脉综合征的诊断准确性：ADvISED 前瞻性多中心研究。
Circulation. 2018 Jan 16;137(3):250-258. doi: 10.1161/CIRCULATIONAHA.117.029457. Epub 2017 Oct 13.
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The revascularization of the atrio-ventricular node artery in a case of right coronary artery occlusion promptly discontinue the atrio-ventricular block.右冠状动脉闭塞病例中房室结动脉的血管重建迅速终止了房室传导阻滞。
Hellenic J Cardiol. 2017 Jan-Feb;58(1):77-79. doi: 10.1016/j.hjc.2017.01.021. Epub 2017 Feb 2.
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Differential aspects of the disease and treatment of Thoracic Acute Aortic Dissection (TAAD)-the European experience.
胸主动脉急性夹层（TAAD）疾病与治疗的差异方面——欧洲经验
Ann Cardiothorac Surg. 2016 Jul;5(4):360-7. doi: 10.21037/acs.2016.06.05.
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Acute Stanford Type A Aortic Dissection Mimicking Acute Myocardial Infarction: A Hidden Catastrophe Which Should Prompt Greater Vigilance.酷似急性心肌梗死的急性 Stanford A 型主动脉夹层：一种应引起更高警惕的隐匿性灾难。
Acta Cardiol Sin. 2014 Sep;30(5):493-6.
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The atherosclerosis of the sinus node artery is associated with an increased history of supra-ventricular arrhythmias: a retrospective study on 541 standard coronary angiograms.窦房结动脉粥样硬化与室上性心律失常病史增加相关：一项对541例标准冠状动脉造影的回顾性研究
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Can the unenhanced phase be eliminated from dual-phase CT angiography for chest pain? Implications for diagnostic accuracy in acute aortic intramural hematoma.能否从胸痛的双期 CT 血管造影中消除未增强期？对急性主动脉壁内血肿诊断准确性的影响。
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Is significance of atrial fibrillation in acute aortic dissection underestimated?急性主动脉夹层中心房颤动的重要性是否被低估了？
J Emerg Med. 2009 Aug;37(2):168-70. doi: 10.1016/j.jemermed.2007.11.094. Epub 2008 Jun 13.
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Acute thrombosis of the sinus node artery: arrhythmological implications.窦房结动脉急性血栓形成：心律失常学意义
Heart. 2003 Feb;89(2):E5. doi: 10.1136/heart.89.2.e5.
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Diagnosis and management of aortic dissection.主动脉夹层的诊断与管理
Eur Heart J. 2001 Sep;22(18):1642-81. doi: 10.1053/euhj.2001.2782.
10
The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease.国际急性主动脉夹层注册研究（IRAD）：对一种古老疾病的新见解
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