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肥厚性梗阻性心肌病酒精室间隔消融术后左间隔束支阻滞

Left Septal Fascicular Block Following Alcohol Septal Ablation for Hypertrophic Obstructive Cardiomyopathy.

作者信息

Gul Enes Elvin, Pérez-Riera Andrés Ricardo, Haseeb Sohaib, Abuelatta Reda, Baranchuk Adrian

机构信息

Division of Cardiac Electrophysiology, Madinah Cardiac Centre, Madinah, Saudi Arabia.

Design of Studies and Scientific Writing Laboratory, ABC School of Medicine, Santo André,São Paulo, Brazil.

出版信息

J Atr Fibrillation. 2019 Aug 31;12(2):2230. doi: 10.4022/jafib.2230. eCollection 2019 Aug-Sep.

DOI:10.4022/jafib.2230
PMID:32002115
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6990054/
Abstract

Left septal fascicular block, or blockage of the middle fibers of the left bundle branch, is known to be suggestive of a critical proximal obstruction of the left anterior descending coronary artery before its first septal perforator branch. We describe the case of a 68-year-old male who exhibited this transient intraventricular dromotropic disturbance following alcohol septal ablation for hypertrophic obstructive cardiomyopathy.

摘要

左间隔分支阻滞,即左束支中间纤维阻滞,已知提示在第一间隔穿支分支之前左前降支冠状动脉近端严重阻塞。我们描述了一例68岁男性患者的病例,该患者在酒精间隔消融治疗肥厚性梗阻性心肌病后出现了这种短暂的室内传导性紊乱。

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本文引用的文献

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Survival After Alcohol Septal Ablation in Patients With Hypertrophic Obstructive Cardiomyopathy.酒精室间隔消融术治疗肥厚型梗阻性心肌病患者的生存情况。
J Am Coll Cardiol. 2018 Dec 18;72(24):3087-3094. doi: 10.1016/j.jacc.2018.09.064.
2
Alcohol septal ablation vs myectomy for symptomatic hypertrophic obstructive cardiomyopathy: Systematic review and meta-analysis.酒精间隔消融术与肌切除术治疗症状性肥厚型梗阻性心肌病的系统评价和荟萃分析
Clin Cardiol. 2019 Jan;42(1):190-197. doi: 10.1002/clc.23113. Epub 2018 Nov 29.
3
Alcohol septal ablation in hypertrophic cardiomyopathy.肥厚型心肌病的酒精室间隔消融术。
Glob Cardiol Sci Pract. 2018 Aug 12;2018(3):30. doi: 10.21542/gcsp.2018.30.
4
The tetrafascicular nature of the intraventricular conduction system.心室内传导系统的四束状特性。
Clin Cardiol. 2019 Jan;42(1):169-174. doi: 10.1002/clc.23093. Epub 2018 Dec 13.
5
Effect of Institutional Experience on Outcomes of Alcohol Septal Ablation for Hypertrophic Obstructive Cardiomyopathy.机构经验对酒精室间隔消融治疗肥厚型梗阻性心肌病的疗效的影响。
Can J Cardiol. 2018 Jan;34(1):16-22. doi: 10.1016/j.cjca.2017.10.020.
6
III SBC Guidelines on the Analysis and Issuance of Electrocardiographic Reports - Executive Summary.III 心电图报告分析与发布的SBC指南 - 执行摘要。
Arq Bras Cardiol. 2016 Nov;107(5):392-402. doi: 10.5935/abc.20160173.
7
Transient Left Septal Fascicular Block: An Electrocardiographic Expression of Proximal Obstruction of Left Anterior Descending Artery?短暂性左间隔分支阻滞:左前降支近端阻塞的一种心电图表现?
Ann Noninvasive Electrocardiol. 2016 Mar;21(2):206-9. doi: 10.1111/anec.12271. Epub 2015 May 4.
8
Electrovectorcardiographic diagnosis of left septal fascicular block: anatomic and clinical considerations.左间隔分支阻滞的心电向量图诊断:解剖学与临床考量
Ann Noninvasive Electrocardiol. 2011 Apr;16(2):196-207. doi: 10.1111/j.1542-474X.2011.00416.x.
9
Delayed electrocardiographic changes after percutaneous transluminal septal myocardial ablation in hypertrophic obstructive cardiomyopathy.肥厚型梗阻性心肌病经皮腔内室间隔心肌消融术后延迟出现的心电图改变
J Electrocardiol. 2007 Oct;40(4):356.e1-6. doi: 10.1016/j.jelectrocard.2006.12.003. Epub 2007 Feb 20.
10
Vector electrocardiographic alterations after percutaneous septal ablation in obstructive hypertrophic cardiomyopathy. Possible anatomic causes.梗阻性肥厚型心肌病经皮间隔消融术后的向量心电图改变。可能的解剖学原因。
Arq Bras Cardiol. 2002 Nov;79(5):466-75. doi: 10.1590/s0066-782x2002001400004.