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一项惊人的发现：心脏再同步治疗植入术后的心尖部血栓形成。

A Shocking Discovery: Apical Thrombus Formation Post-Cardiac Resynchronization Therapy Placement.

作者信息

Fakhry Meer A, Siddique Sultan

机构信息

Department of Internal Medicine, Prisma Health, University of South Carolina, Columbia, South Carolina.

Department of Cardiology, Prisma Health, University of South Carolina, Columbia, South Carolina.

出版信息

CASE (Phila). 2020 Oct 3;4(6):500-503. doi: 10.1016/j.case.2020.09.003. eCollection 2020 Dec.

DOI:10.1016/j.case.2020.09.003
PMID:33376842
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7756184/
Abstract

• CRT-D is beneficial for patients in systolic heart failure with dyssynchrony. • Complications after CRT-D placement can arise due to changes post–myocardial infarction. • Apical thrombus can develop in a predisposed area in the left ventricle. • CRT-D placement can worsen aneurysmal areas of the left ventricle.

摘要

• 心脏再同步化治疗除颤器（CRT-D）对存在不同步的收缩性心力衰竭患者有益。

• CRT-D植入术后并发症可能因心肌梗死后的变化而出现。

• 心尖部血栓可在左心室的易感区域形成。

• CRT-D植入可使左心室的动脉瘤区域恶化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e95/7756184/3cc2bbf12e9b/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e95/7756184/e23d17f6c3ea/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e95/7756184/655e746c7d4f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e95/7756184/9287ded4cfd1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e95/7756184/6031f06cfeeb/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e95/7756184/58ccb6eb168e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e95/7756184/f5df704e0a6e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e95/7756184/3cc2bbf12e9b/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e95/7756184/e23d17f6c3ea/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e95/7756184/655e746c7d4f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e95/7756184/9287ded4cfd1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e95/7756184/6031f06cfeeb/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e95/7756184/58ccb6eb168e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e95/7756184/f5df704e0a6e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e95/7756184/3cc2bbf12e9b/gr6.jpg

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本文引用的文献

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2012 ACCF/AHA/HRS focused update incorporated into the ACCF/AHA/HRS 2008 guidelines for device-based therapy of cardiac rhythm abnormalities: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society.2012年美国心脏病学会基金会/美国心脏协会/心律学会重点更新内容纳入《2008年美国心脏病学会基金会/美国心脏协会/心律学会心脏节律异常器械治疗指南》：美国心脏病学会基金会/美国心脏协会实践指南工作组及心律学会报告
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Left ventricular apical akinetic aneurysmatic area associated with permanent right ventricular apical pacing for advanced atrioventricular block: clinical characteristics and long-term outcome.左心室心尖运动障碍性动脉瘤样区域与晚期房室传导阻滞的永久性右心室心尖起搏相关：临床特征和长期结果。
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Left ventricular dyssynchrony resulting from right ventricular apical pacing: relevance of baseline assessment.右心室心尖部起搏导致的左心室不同步：基线评估的相关性
Pacing Clin Electrophysiol. 2008 Nov;31(11):1456-62. doi: 10.1111/j.1540-8159.2008.01209.x.
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The effect of cardiac resynchronization on morbidity and mortality in heart failure.心脏再同步化治疗对心力衰竭患者发病率和死亡率的影响。
N Engl J Med. 2005 Apr 14;352(15):1539-49. doi: 10.1056/NEJMoa050496. Epub 2005 Mar 7.
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Pacemaker lead thrombosis treated with atrial thrombectomy and biventricular pacemaker and defibrillator insertion.采用心房血栓切除术及双心室起搏器和除颤器植入术治疗起搏器导线血栓形成。
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