Villecco Víctor S, Estrella María Laura, Bono Leandro, Antezana Chávez Edgar, Gagliardi Juan A, Szarfer Jorge
Hospital de Agudos Dr. Cosme Argerich, Buenos Aires, Argentina. E-mail:
Hospital de Agudos Dr. Cosme Argerich, Buenos Aires, Argentina.
Medicina (B Aires). 2020;80(5):563-565.
Here we present the case of a 60-year-old patient with sinus node disease (NSS), symptomatic with dizziness and angor. The electrocardiogram showed episodes of sinus pauses with nodal escapes. During hospitalization, pending the placement of a definitive pacemaker, cilostazol (100 mg every 12 hours orally) was indicated, observing an increase in heart rate 48 hours after starting the medication, and the disappearance of sinus pauses in the 24 hours Holter. Our objective has been to show that cilostazol can be useful in patients with SNN, although long-term chronotropic effects of this treatment has yet to be evaluated.
在此，我们呈现一例60岁患有窦房结疾病（NSS）的患者，有头晕和心慌症状。心电图显示有窦性停搏伴结性逸搏发作。住院期间，在等待植入永久性起搏器时，给予西洛他唑（口服，每次100mg，每12小时一次），用药48小时后心率增加，24小时动态心电图显示窦性停搏消失。我们的目的是表明西洛他唑对窦房结疾病患者可能有用，尽管这种治疗的长期变时作用尚待评估。
